Mr Matthew Vincent Gillane, PT | |
5008 Baltimore Ave, Suite 2b Physical Therapy, Philadelphia, PA 19143-3302 | |
(215) 764-8500 | |
(215) 764-8507 |
Full Name | Mr Matthew Vincent Gillane |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 5008 Baltimore Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972781169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT003861L (Pennsylvania) | Primary |
Provider Name | Jag-one Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518017144 PECOS PAC ID: 2769584325 Enrollment ID: O20070228000306 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Vincent Gillane, PT 15 Hampton Ct, Blackwood, NJ 08012-4567 Ph: (215) 764-8500 | Mr Matthew Vincent Gillane, PT 5008 Baltimore Ave, Suite 2b Physical Therapy, Philadelphia, PA 19143-3302 Ph: (215) 764-8500 |
Mr. James Blakely, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 E Wadsworth Ave, Unit 1, Philadelphia, PA 19150 Phone: 267-323-2778 Fax: 267-323-2774 | |
Vincent Ngo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 133 W Hunting Park Ave, Philadelphia, PA 19140 Phone: 215-455-5370 | |
Maureen Higgins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 N Independence Mall W, Philadelphia, PA 19106 Phone: 215-413-0600 Fax: 215-413-0684 | |
Jennifer Dekerlegand, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 White Building, Philadelphia, PA 19104 Phone: 215-662-3265 | |
Doriean Broady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4902 Arch St Unit 1, Philadelphia, PA 19139 Phone: 585-944-7961 | |
Jennifer Anne Ellis, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1923 Bainbridge St, Philadelphia, PA 19146 Phone: 215-469-1832 | |
Katherine Weaver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3400 Lancaster Ave Ste 4, Philadelphia, PA 19104 Phone: 215-662-0397 |