Performance Physical Therapy And Wellness | |
16 Cross St, New Canaan, CT 06840-4831 | |
(203) 422-0679 | |
(203) 621-3162 |
Full Name | Performance Physical Therapy And Wellness |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 16 Cross St, New Canaan, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194282004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Jason Bennett Myerson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417069485 PECOS PAC ID: 7618971482 Enrollment ID: I20060908000505 |
Provider Name | Michael Beecher |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730335415 PECOS PAC ID: 1850450230 Enrollment ID: I20091102000045 |
Provider Name | Stanley J Rutkowski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245327105 PECOS PAC ID: 3173413903 Enrollment ID: I20110518000295 |
Provider Name | Jonathon Mendola |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770966640 PECOS PAC ID: 2668750712 Enrollment ID: I20161025002056 |
Provider Name | Sam Sheppard |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124541537 PECOS PAC ID: 1658643283 Enrollment ID: I20170824000991 |
Provider Name | Robert Mahlman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629597471 PECOS PAC ID: 6103191085 Enrollment ID: I20171003004603 |
Provider Name | Olivia A Bolen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467958637 PECOS PAC ID: 5395009104 Enrollment ID: I20180502002492 |
Provider Name | Britt Gunsser |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972979839 PECOS PAC ID: 6507175957 Enrollment ID: I20180508000294 |
Provider Name | Carolyn Surgent |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831272426 PECOS PAC ID: 0446279707 Enrollment ID: I20190128002845 |
Provider Name | Gloria Christiano |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083269393 PECOS PAC ID: 9830427186 Enrollment ID: I20190823001747 |
Provider Name | Ashley Moriarty |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760851034 PECOS PAC ID: 9133439342 Enrollment ID: I20190910000811 |
Provider Name | Michael Semancik |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922666437 PECOS PAC ID: 1658600630 Enrollment ID: I20190917002602 |
Provider Name | Brian Kuruc |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295393718 PECOS PAC ID: 4981933967 Enrollment ID: I20190917002774 |
Provider Name | Kenneth Rubin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659939262 PECOS PAC ID: 8123358165 Enrollment ID: I20190918000855 |
Provider Name | Jessica Alexandrea Klecki |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962919852 PECOS PAC ID: 8123383460 Enrollment ID: I20200303000158 |
Provider Name | Danielle Pasquale |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164024378 PECOS PAC ID: 9638584154 Enrollment ID: I20210216001032 |
Provider Name | Kiera Klaum |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508530353 PECOS PAC ID: 2163827031 Enrollment ID: I20210817000372 |
Provider Name | Renee Lascarides |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992473656 PECOS PAC ID: 3678979374 Enrollment ID: I20210903001801 |
Provider Name | Payden Houser |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265818504 PECOS PAC ID: 7012224199 Enrollment ID: I20220531001583 |
Provider Name | Christopher Michael Donato |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003594508 PECOS PAC ID: 3577917806 Enrollment ID: I20230920002895 |
Provider Name | John Mcgeorge |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568246262 PECOS PAC ID: 5698120699 Enrollment ID: I20231011002465 |
Provider Name | Maresa Catenzaro |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821879925 PECOS PAC ID: 0547605859 Enrollment ID: I20240227000621 |
Provider Name | Meghan Slemenda Dietz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689821878 PECOS PAC ID: 9234384942 Enrollment ID: I20240419000298 |
Mailing Address | Practice Location Address |
---|---|
Performance Physical Therapy And Wellness Po Box 402, Cos Cob, CT 06807-0402 Ph: (203) 553-7626 | Performance Physical Therapy And Wellness 16 Cross St, New Canaan, CT 06840-4831 Ph: (203) 422-0679 |