Physical Therapy Professionals, Pc - Medicare Physical Therapist in Lakeville, NY

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Physical Therapy Professionals, Pc is a medicare enrolled "Physical Therapist" provider in Lakeville, New York. Their current practice location is 3506 Thomas Dr, Lakeville, New York. You can reach out to their office (for appointments etc.) via phone at (585) 346-0060.

Physical Therapy Professionals, Pc is licensed to practice in New York (license number 012202) and it also participates in the medicare program. Physical Therapy Professionals, Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1083834758.

Contact Information

Physical Therapy Professionals, Pc
3506 Thomas Dr,
Lakeville, NY 14480-9730
(585) 346-0060
(585) 346-0108

Map and Direction




Healthcare Provider's Profile

Full NamePhysical Therapy Professionals, Pc
TypeFacility
SpecialityPhysical Therapist
Location3506 Thomas Dr, Lakeville, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083834758
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 08/05/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1153486485
  • Enrollment ID: O20090219000409

Medical Identifiers

Medical identifiers for Physical Therapy Professionals, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083834758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 012202 (New York)Primary
225100000XPhysical Therapist 012242 (New York)Secondary
225100000XPhysical Therapist 017728 (New York)Secondary
225100000XPhysical Therapist 023289 (New York)Secondary
225100000XPhysical Therapist 018661 (New York)Secondary
225100000XPhysical Therapist 009223 (New York)Secondary
225100000XPhysical Therapist 026428 (New York)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Physical Therapy Professionals, Pc acts as a billing entity for following providers:
Provider NameAndrew V Mattle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063488948
PECOS PAC ID: 3375577471
Enrollment ID: I20050919000643
Provider NameKristi Marie Hagen Bauer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639211139
PECOS PAC ID: 0446424535
Enrollment ID: I20111130000336
Provider NameCraig Ullock
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528119633
PECOS PAC ID: 2860641545
Enrollment ID: I20121013000001
Provider NamePolly Ann Welch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710233614
PECOS PAC ID: 8820248966
Enrollment ID: I20131202000008
Provider NameKevin Walther
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033652367
PECOS PAC ID: 6608157110
Enrollment ID: I20161221000655
Provider NameTaylor M Pestle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750939542
PECOS PAC ID: 8820328859
Enrollment ID: I20190918000568
Provider NameJames Benjamin Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457918856
PECOS PAC ID: 5890025514
Enrollment ID: I20220412001202

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Physical Therapy Professionals, Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Physical Therapy Professionals, Pc
3506 Thomas Dr,
Lakeville, NY 14480-9730

Ph: (585) 346-0060		Physical Therapy Professionals, Pc
3506 Thomas Dr,
Lakeville, NY 14480-9730

Ph: (585) 346-0060

Reviews and Comments


Physical Therapist in Lakeville, NY

Ms. Robin Crist, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3506 Thomas Dr., Lakeville, NY 14480
Phone: 585-346-0060    
Dr. Kevin Walther, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3506 Thomas Dr, Lakeville, NY 14480
Phone: 585-346-0060    Fax: 585-346-0108
Andrew V Mattle, PT
Physical Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 3506 Thomas Drive, Lakeville, NY 14480
Phone: 585-346-0060    Fax: 585-346-0108
Amanda Malamud, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3506 Thomas Dr, Lakeville, NY 14480
Phone: 585-346-0060    
Mrs. Kristi Marie Hagen Bauer, MSPT, ATC
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3506 Thomas Dr, Lakeville, NY 14480
Phone: 585-346-0060    Fax: 585-346-0108
Jennifer Bock,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3506 Thomas Dr, Lakeville, NY 14480
Phone: 585-346-0060    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.