Mrs Maryellen Dougherty, MSPT | |
203 E Baltimore Pike, Suite 2, Media, PA 19063-3433 | |
(610) 565-0670 | |
(610) 565-7706 |
Full Name | Mrs Maryellen Dougherty |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 19 Years |
Location | 203 E Baltimore Pike, Media, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518057900 | NPI | - | NPPES |
1928216 | Other | PA | BC/BS PIN |
2799524000 | Other | PA | KEYSTONE PIN |
P00430771 | Other | PA | MEDICARE RAILROAD PIN |
2799524000 | Other | PA | PERSONAL CHOICE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT018385 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Restoration Physical Therapy Llc | 4284818956 | 2 |
Provider Name | Restoration Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1174826184 PECOS PAC ID: 4284818956 Enrollment ID: O20151203001398 |
Mailing Address | Practice Location Address |
---|---|
Mrs Maryellen Dougherty, MSPT 203 E Baltimore Pike, Suite 2, Media, PA 19063-3433 Ph: (610) 565-0670 | Mrs Maryellen Dougherty, MSPT 203 E Baltimore Pike, Suite 2, Media, PA 19063-3433 Ph: (610) 565-0670 |
Miss Stephanie Fritsch, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 N Monroe St, Second Floor, Media, PA 19063 Phone: 484-444-0135 Fax: 484-444-0138 | |
Joshua Christopher Proctor, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 N Monroe St, Media, PA 19063 Phone: 484-444-0135 | |
Amrita Singh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 N Monroe St Fl 2, Media, PA 19063 Phone: 484-444-0135 Fax: 484-444-0138 | |
Mr. Christopher L Wilds, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1068 W Baltimore Pike, Lobby Level, Media, PA 19063 Phone: 610-891-3030 Fax: 610-891-3035 | |
Ms. Patricia Heaney Magnanini, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Martins Run, Media, PA 19063 Phone: 610-353-7660 Fax: 610-353-9160 | |
Main Line Hand Center Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 N Monroe St, Second Floor, Media, PA 19063 Phone: 484-444-0135 Fax: 484-444-0138 | |
Neha Buddemeier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1118 W Baltimore Pike, Suite 302, Media, PA 19063 Phone: 610-480-6040 |