| Petroski Physiotherapy And Performance Llc | |
|
12285 Mcnulty Rd, Philadelphia, PA 19154-1210 | |
| (215) 776-4872 | |
| Not Available |
| Full Name | Petroski Physiotherapy And Performance Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Sports |
| Location | 12285 Mcnulty Rd, 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 |
|---|---|---|---|
| 1598240384 | NPI | - | NPPES |
| 1871011882 | Other | PA | N/A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Primary |
| Provider Name | Nicholas W Petroski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871011882 PECOS PAC ID: 6002181310 Enrollment ID: I20200806003050 |
| Provider Name | Jared Thomas Herrmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598430035 PECOS PAC ID: 0749686483 Enrollment ID: I20210907000385 |
| Provider Name | Taylor Bracy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093590549 PECOS PAC ID: 2769838416 Enrollment ID: I20231101000605 |
| Mailing Address | Practice Location Address |
|---|---|
| Petroski Physiotherapy And Performance Llc 12285 Mcnulty Rd, Philadelphia, PA 19154-1210 Ph: (215) 776-4872 | Petroski Physiotherapy And Performance Llc 12285 Mcnulty Rd, Philadelphia, PA 19154-1210 Ph: (215) 776-4872 |
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 |