Mrs Tammy P Mayo, PT, ATC | |
51 E Main St, Avon, CT 06001-3821 | |
(860) 404-2461 | |
Not Available |
Full Name | Mrs Tammy P Mayo |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 51 E Main St, Avon, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184758039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 007103 (Connecticut) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | 000082 (Connecticut) | Secondary |
Provider Name | Prohealth Physicians Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
Provider Name | Connecticut Luna Care Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1548874035 PECOS PAC ID: 1456744762 Enrollment ID: O20220209002292 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tammy P Mayo, PT, ATC 109 Boylston St, Newington, CT 06111-4301 Ph: () - | Mrs Tammy P Mayo, PT, ATC 51 E Main St, Avon, CT 06001-3821 Ph: (860) 404-2461 |
Jonathan Soderquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Dale Rd, Suite 203, Avon, CT 06001 Phone: 860-674-1713 Fax: 860-674-1848 | |
Bernardine Lapaan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001 Phone: 860-674-1713 | |
Cynthia Langer, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45 E Main St, Avon, CT 06001 Phone: 860-402-7743 | |
Thomas Kirsch, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001 Phone: 860-674-1713 | |
Mr. Bartlomiej Kolcz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001 Phone: 860-674-1713 | |
Keely Yarish, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001 Phone: 860-674-1713 | |
Eric Horne, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Dale Rd, Avon, CT 06001 Phone: 860-674-6713 Fax: 860-674-1848 |