Mr Stanley T Petrick, MSPT | |
1201b North Church Street, Suite 307, Hazle Township, PA 18202-1453 | |
(570) 455-7108 | |
(570) 455-8835 |
Full Name | Mr Stanley T Petrick |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 1201b North Church Street, Hazle Township, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881650281 | NPI | - | NPPES |
P00199564 | Other | RAILROAD MEDICARE | |
230232 | Other | HEALTH AMERICA | |
820635 | Other | PA | FIRST PRIORITY |
1230503 | Other | FIRST HEALTH | |
50038360 | Other | PA | CAPITAL BLUE CROSS |
PE176517 | Other | PA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT011725L (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maylath Therapy Group Inc. | 1850527482 | 2 |
Provider Name | Maylath Therapy Group Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902247737 PECOS PAC ID: 1850527482 Enrollment ID: O20140102000400 |
Mailing Address | Practice Location Address |
---|---|
Mr Stanley T Petrick, MSPT 1201b North Church Street, Suite 307, Hazle Township, PA 18202-1453 Ph: (570) 455-7108 | Mr Stanley T Petrick, MSPT 1201b North Church Street, Suite 307, Hazle Township, PA 18202-1453 Ph: (570) 455-7108 |
Rachel Witner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Hazle Township Blvd, 403 Hazle Township Blvd, Hazle Township, PA 18202 Phone: 570-454-8888 Fax: 570-459-9252 | |
Phoenix Rehabilitation And Health Services, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201b N Church St, Suite 307, Hazle Township, PA 18202 Phone: 570-455-7108 Fax: 570-455-8835 | |
Deana Vonfrisch, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 Hazle Township Blvd, Hazle Township, PA 18202 Phone: 570-454-8888 Fax: 570-459-9252 | |
Mrs. Sheri Lee Boyle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201b N Church St, Ste 307, Hazle Township, PA 18202 Phone: 570-455-7108 Fax: 570-455-8835 | |
Paul Kropiewnicki, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1324 N Church St, Hazle Township, PA 18202 Phone: 570-501-1808 | |
Astute Diagnostics Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1077 N Church St, Hazle Township, PA 18202 Phone: 570-501-1808 Fax: 855-635-6308 | |
Travis Evans, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1077 N Church St, Hazle Township, PA 18202 Phone: 570-501-1808 |