Owen Memelo, DPT | |
7387 Pittsford Victor Rd Ste 950, Victor, NY 14564-9676 | |
(585) 924-3250 | |
(585) 924-5127 |
Full Name | Owen Memelo |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 7387 Pittsford Victor Rd Ste 950, Victor, 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 |
---|---|---|---|
1073270146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 25883 (Massachusetts) | Secondary |
225100000X | Physical Therapist | 048840 (New York) | Primary |
Provider Name | Elliott Physical Therapy, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639591126 PECOS PAC ID: 9830322585 Enrollment ID: O20140502001089 |
Mailing Address | Practice Location Address |
---|---|
Owen Memelo, DPT 7387 Pittsford Victor Rd Ste 950, Victor, NY 14564-9676 Ph: (585) 924-3250 | Owen Memelo, DPT 7387 Pittsford Victor Rd Ste 950, Victor, NY 14564-9676 Ph: (585) 924-3250 |
Allysyn Marie O'connell, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 590 Fishers Station Dr Ste 130, Victor, NY 14564 Phone: 585-924-7207 | |
Taylor Bowen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6534 Anthony Dr Ste C, Victor, NY 14564 Phone: 585-869-5140 | |
Meg Demario-macbain, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 590 Fishers Station Dr, Suite 130, Victor, NY 14564 Phone: 585-924-7207 | |
Allison Prescott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6534 Anthony Dr Ste C, Victor, NY 14564 Phone: 585-869-5140 Fax: 585-869-5142 | |
Alexander Thomas Kopicki, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7387 Pittsford Victor Rd Ste 950, Victor, NY 14564 Phone: 585-924-3250 | |
Diana Hutton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 590 Fishers Station Dr, Suite 130, Victor, NY 14564 Phone: 585-924-7207 |