Park Avenue Physical Therapy | |
711 Park Ave, Medina, NY 14103-1036 | |
(585) 798-4344 | |
(585) 798-0439 |
Full Name | Park Avenue Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 711 Park Ave, Medina, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538330790 | NPI | - | NPPES |
AA1003 | Other | NY | MEDICARE GROUP PRACTICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 020602 (New York) | Primary |
Provider Name | Nadia Alexandra Nava |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831156967 PECOS PAC ID: 3476544941 Enrollment ID: I20040522000010 |
Provider Name | Buffie L Haley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104984905 PECOS PAC ID: 0547438319 Enrollment ID: I20110721000465 |
Provider Name | Anthony James Diaz |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508802240 PECOS PAC ID: 5395899009 Enrollment ID: I20111027000196 |
Provider Name | Peyton Dare Notebaert |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740947142 PECOS PAC ID: 6002207958 Enrollment ID: I20220103001261 |
Provider Name | Brittany Nicole Rudd |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205552262 PECOS PAC ID: 7012388150 Enrollment ID: I20230127000523 |
Mailing Address | Practice Location Address |
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Park Avenue Physical Therapy 711 Park Ave, Medina, NY 14103-1036 Ph: (585) 798-4344 | Park Avenue Physical Therapy 711 Park Ave, Medina, NY 14103-1036 Ph: (585) 798-4344 |
Ian Michael Kennedy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Ohio St, Medina, NY 14103 Phone: 585-798-2000 | |
Ms. Ami H Desai, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Ohio Street, Medina, NY 14103 Phone: 585-798-2000 | |
Buffie L Haley, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 711 Park Ave Ste 101, Medina, NY 14103 Phone: 585-798-4344 Fax: 585-798-0439 | |
Brittany Nicole Rudd, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 711 Park Ave Ste 101, Medina, NY 14103 Phone: 585-798-4344 Fax: 585-798-0439 | |
Ms. Carol L Heiligenthaler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Pearl St, Medina, NY 14103 Phone: 716-860-8505 | |
Laurie Campbell Barney, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4232 Shelby Basin Rd, Medina, NY 14132 Phone: 716-868-6783 | |
Jessica Kim, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Ohio St, Medina, NY 14103 Phone: 585-798-2000 |