Proactive Physical Therapy | |
792 N Main St, Suite 100c, North Syracuse, NY 13212-1644 | |
(315) 458-2552 | |
(315) 458-2575 |
Full Name | Proactive Physical Therapy |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 792 N Main St, North Syracuse, 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 |
---|---|---|---|
1922071257 | NPI | - | NPPES |
0000025332 | Other | NY | BCBS CNY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Darryl K Young |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205147287 PECOS PAC ID: 9234326489 Enrollment ID: I20101214000531 |
Provider Name | Dionne Denise Beach |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235426495 PECOS PAC ID: 4587832225 Enrollment ID: I20110722000488 |
Provider Name | Michael Cash |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053384354 PECOS PAC ID: 9032137351 Enrollment ID: I20111013000329 |
Provider Name | Michael W Fay |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689648131 PECOS PAC ID: 0345139036 Enrollment ID: I20111122000443 |
Provider Name | Drew D Nelson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902154289 PECOS PAC ID: 5395994925 Enrollment ID: I20120925000701 |
Provider Name | Nathan Charles Loughlin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992132195 PECOS PAC ID: 0749411791 Enrollment ID: I20140317000258 |
Provider Name | Adam Joseph Ryan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053851154 PECOS PAC ID: 8325323157 Enrollment ID: I20170317001863 |
Provider Name | Rosemary G Frazee |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538688700 PECOS PAC ID: 5698041168 Enrollment ID: I20171027001993 |
Provider Name | Tyler C Herman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225504814 PECOS PAC ID: 1254670805 Enrollment ID: I20190227000584 |
Provider Name | Stephanie Rosecrans |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285295287 PECOS PAC ID: 9133455264 Enrollment ID: I20190729000403 |
Provider Name | David M Brennan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245887108 PECOS PAC ID: 8628308392 Enrollment ID: I20190923001724 |
Provider Name | Daniel Lane Gridley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629747860 PECOS PAC ID: 4082012646 Enrollment ID: I20211012001822 |
Provider Name | Ahkeen F Williams |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508643149 PECOS PAC ID: 8022462266 Enrollment ID: I20230921003561 |
Mailing Address | Practice Location Address |
---|---|
Proactive Physical Therapy 792 N Main St, Suite 100c, North Syracuse, NY 13212-1644 Ph: (315) 458-2552 | Proactive Physical Therapy 792 N Main St, Suite 100c, North Syracuse, NY 13212-1644 Ph: (315) 458-2552 |
Dr. Liane Brown, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 792 N Main St, Ste 100c, North Syracuse, NY 13212 Phone: 315-458-2552 Fax: 315-458-2575 | |
Alicia Marie Everett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 792 N Main St, Ste 100c, North Syracuse, NY 13212 Phone: 315-458-2552 Fax: 315-458-2575 | |
Meghan M Ryan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 N Main St, North Syracuse, NY 13212 Phone: 315-452-5580 Fax: 315-452-5303 | |
Mrs. Jean T Adkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 S Main St, North Syracuse, NY 13212 Phone: 315-218-2200 | |
Proactive Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 792 N Main St, Ste 100c, North Syracuse, NY 13212 Phone: 315-458-2552 Fax: 315-458-2575 | |
Jacob Templar, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5496 E Taft Rd, North Syracuse, NY 13212 Phone: 315-418-4042 | |
Andrea Whalen Westman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 792 N Main St, Ste 100c, North Syracuse, NY 13212 Phone: 315-458-2552 Fax: 315-458-2575 |