Perry Koslow, PT | |
330 N Main St, Suite 202, Moscow, PA 18444-9003 | |
(570) 842-8191 | |
(570) 842-8192 |
Full Name | Perry Koslow |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 330 N Main St, Moscow, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235119926 | NPI | - | NPPES |
0001844881 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT015184 (Pennsylvania) | Primary |
Provider Name | Pivot Physical Therapy Of Pennsylvania Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881132488 PECOS PAC ID: 4981971843 Enrollment ID: O20170515000834 |
Mailing Address | Practice Location Address |
---|---|
Perry Koslow, PT 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714 | Perry Koslow, PT 330 N Main St, Suite 202, Moscow, PA 18444-9003 Ph: (570) 842-8191 |
Maria Riordan, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 107 Np 502 Plz, Moscow, PA 18444 Phone: 570-848-1240 Fax: 570-848-1243 | |
Jason Thane Hunter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 208 S Main St, Moscow, PA 18444 Phone: 570-842-8191 Fax: 570-842-8192 | |
Lisa Conniff, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Np 502 Plz, Moscow, PA 18444 Phone: 570-848-1240 Fax: 570-848-1243 | |
Ms. Jane Louise Hadley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 Saint Marys Villa Rd, Moscow, PA 18444 Phone: 570-842-7621 | |
Natalie Henderson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 S Main St, Moscow, PA 18444 Phone: 570-842-9323 Fax: 570-842-9362 | |
Brendan Betti, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 208 S Main St, Moscow, PA 18444 Phone: 570-842-8191 |