Mr Ryan R Carlisle, DPT | |
109 Walker Dr, Edinboro, PA 16412-2237 | |
(814) 734-1601 | |
(814) 734-1724 |
Full Name | Mr Ryan R Carlisle |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 109 Walker Dr, Edinboro, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962713925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 020591 (Pennsylvania) | Primary |
Provider Name | Niagara Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760634166 PECOS PAC ID: 9234282443 Enrollment ID: O20090806000041 |
Provider Name | Keystone Rehabilitation Systems Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205386547 PECOS PAC ID: 7012826753 Enrollment ID: O20161206001178 |
Mailing Address | Practice Location Address |
---|---|
Mr Ryan R Carlisle, DPT 109 Walker Dr, Edinboro, PA 16412-2237 Ph: (814) 734-1601 | Mr Ryan R Carlisle, DPT 109 Walker Dr, Edinboro, PA 16412-2237 Ph: (814) 734-1601 |
Mrs. Janelle Catherine Therasse, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 419 Waterford Street, Edinboro, PA 16412 Phone: 814-734-5021 Fax: 814-734-1433 | |
Jennifer R Wolfe, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 419 Waterford Street, Edinboro, PA 16412 Phone: 814-734-5021 Fax: 814-734-1433 | |
Mrs. Kelly A Ohmer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 Walker Dr, Edinboro, PA 16412 Phone: 814-734-1601 Fax: 814-734-1724 | |
Mrs. Michelle Suzanne Eberle, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Walker Dr, Edinboro, PA 16412 Phone: 814-734-7444 Fax: 814-734-8509 | |
Michelle A Burgess, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 252 Waterford St, Edinboro, PA 16412 Phone: 814-734-5610 | |
Mr. Mark Thomas Eberle, PT ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Walker Dr, Edinboro, PA 16412 Phone: 814-734-7444 Fax: 814-734-8509 | |
Maria Terese Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 419 Waterford St, Edinboro, PA 16412 Phone: 814-734-5021 Fax: 814-734-1433 |