Mrs Michelle Dyer Denison, | |
8679 Elmer Hill Rd, Rome, NY 13440-9314 | |
(315) 339-4836 | |
(315) 339-1742 |
Full Name | Mrs Michelle Dyer Denison |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 8679 Elmer Hill Rd, Rome, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093003881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 016607-1 (New York) | Primary |
Provider Name | State Of New York Comptrollers Office |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
Mailing Address | Practice Location Address |
---|---|
Mrs Michelle Dyer Denison, 8679 Elmer Hill Rd, Rome, NY 13440-9314 Ph: (315) 339-4836 | Mrs Michelle Dyer Denison, 8679 Elmer Hill Rd, Rome, NY 13440-9314 Ph: (315) 339-4836 |
R Christopher Bouton, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 S James St, Bouton Physical Therapy, Rome, NY 13440 Phone: 315-337-1436 Fax: 315-337-1437 | |
Bouton Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 221 S James St, Bouton Physical Therapy, Rome, NY 13440 Phone: 315-337-1436 Fax: 315-336-1437 | |
Ms. Megan E Croniser, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 N James St, Rome, NY 13440 Phone: 315-338-7154 Fax: 315-338-7417 | |
Cynthia M Brown, PT, OTR/L Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 W Dominick St, Rome, NY 13440 Phone: 315-337-1533 Fax: 315-337-1531 | |
Lynn Mastracco, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 409 Bell Rd S, Rome, NY 13440 Phone: 315-338-6500 | |
Melissa J Williams, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 S James St, Bouton Physical Therapy, Rome, NY 13440 Phone: 315-337-1436 Fax: 315-337-1437 |