| Progressive Physical Therapy Pc | |
|
700 Broadway, Massapequa, NY 11758 | |
| (516) 797-7003 | |
| (516) 797-7336 |
| Full Name | Progressive Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 700 Broadway, Massapequa, 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 |
|---|---|---|---|
| 1295820223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6604 (New York) | Primary |
| Provider Name | Anne M Seyfarth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467433565 PECOS PAC ID: 7618904095 Enrollment ID: I20050727000429 |
| Provider Name | Dana A Bergin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538497037 PECOS PAC ID: 1557600111 Enrollment ID: I20190227000849 |
| Provider Name | Lillian E Coulton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821278318 PECOS PAC ID: 6709127756 Enrollment ID: I20190401002130 |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Physical Therapy Pc 700 Broadway, Massapequa, NY 11758 Ph: (516) 797-7003 | Progressive Physical Therapy Pc 700 Broadway, Massapequa, NY 11758 Ph: (516) 797-7003 |
John Christopher Micena, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Boundary Ave, Suite 205, Massapequa, NY 11758 Phone: 516-586-4766 Fax: 516-586-4758 | |
Samantha Michelle Runkel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Shinnecock Ave, Massapequa, NY 11758 Phone: 516-462-4353 | |
Joseph Sgaglione, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 503 Wright Drive, Massapequa, NY 11758 Phone: 516-330-0284 | |
Nickesha Rahaman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4200 Sunrise Hwy, Massapequa, NY 11758 Phone: 516-541-1064 Fax: 516-798-9070 | |
Geralyn Avellino, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 998 Carmans Rd, Massapequa, NY 11758 Phone: 516-547-4730 Fax: 516-541-4748 | |
Erika Doyle, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5700 Merrick Rd, Massapequa, NY 11758 Phone: 516-798-9605 Fax: 516-798-9373 | |
Ms. Sandra J Ketcham, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 660 Broadway, Massapequa, NY 11758 Phone: 516-730-2222 Fax: 516-730-2244 |