| Optimal Physical Therapy Gym Llc | |
|
600 Washington Ave, Suite 18u-a, Philadelphia, PA 19147-4836 | |
| (215) 678-4620 | |
| (215) 701-2254 |
| Full Name | Optimal Physical Therapy Gym Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 600 Washington Ave, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386964773 | NPI | - | NPPES |
| 102601450-0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT015725 (Pennsylvania) | Primary |
| Provider Name | Binh Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679605497 PECOS PAC ID: 7517063803 Enrollment ID: I20101220001099 |
| Provider Name | Christopher Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467995985 PECOS PAC ID: 3870876030 Enrollment ID: I20170214000118 |
| Provider Name | George Chau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154847861 PECOS PAC ID: 6305111642 Enrollment ID: I20171012000842 |
| Provider Name | Cathy Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548801202 PECOS PAC ID: 4880926138 Enrollment ID: I20191106000682 |
| Provider Name | Lorrain Ko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851989016 PECOS PAC ID: 1850789454 Enrollment ID: I20211102000015 |
| Provider Name | Joshua Yan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144903790 PECOS PAC ID: 2062866494 Enrollment ID: I20231003003260 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Physical Therapy Gym Llc 600 Washington Ave, Suite 18u-a, Philadelphia, PA 19147-4836 Ph: (215) 678-4620 | Optimal Physical Therapy Gym Llc 600 Washington Ave, Suite 18u-a, Philadelphia, PA 19147-4836 Ph: (215) 678-4620 |
Mr. James Blakely, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 E Wadsworth Ave, Unit 1, Philadelphia, PA 19150 Phone: 267-323-2778 Fax: 267-323-2774 | |
Vincent Ngo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 133 W Hunting Park Ave, Philadelphia, PA 19140 Phone: 215-455-5370 | |
Maureen Higgins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 N Independence Mall W, Philadelphia, PA 19106 Phone: 215-413-0600 Fax: 215-413-0684 | |
Jennifer Dekerlegand, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 White Building, Philadelphia, PA 19104 Phone: 215-662-3265 | |
Doriean Broady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4902 Arch St Unit 1, Philadelphia, PA 19139 Phone: 585-944-7961 | |
Jennifer Anne Ellis, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1923 Bainbridge St, Philadelphia, PA 19146 Phone: 215-469-1832 | |
Katherine Weaver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3400 Lancaster Ave Ste 4, Philadelphia, PA 19104 Phone: 215-662-0397 |