| Provident Physical And Occupational Therapy Pllc | |
|
554 Larkfield Rd Ste 207, East Northport, NY 11731-4205 | |
| (631) 266-4501 | |
| (631) 266-4502 |
| Full Name | Provident Physical And Occupational Therapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 554 Larkfield Rd Ste 207, East Northport, 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 |
|---|---|---|---|
| 1144742479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (New York) | Primary |
| 225X00000X | Occupational Therapist | (New York) | Secondary |
| Provider Name | Mark D Guzman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003265620 PECOS PAC ID: 6204871684 Enrollment ID: I20050627000238 |
| Provider Name | Steven C Desousa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457321911 PECOS PAC ID: 8325122609 Enrollment ID: I20080226000132 |
| Provider Name | Robyn L Marsden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922545938 PECOS PAC ID: 8921371071 Enrollment ID: I20170912000879 |
| Provider Name | Caitlin Sorrentino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740721513 PECOS PAC ID: 1355602947 Enrollment ID: I20180222000314 |
| Provider Name | Michael Vecchione |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770718256 PECOS PAC ID: 7416389309 Enrollment ID: I20191114001628 |
| Mailing Address | Practice Location Address |
|---|---|
| Provident Physical And Occupational Therapy Pllc 554 Larkfield Rd Ste 207, East Northport, NY 11731-4205 Ph: (631) 266-4501 | Provident Physical And Occupational Therapy Pllc 554 Larkfield Rd Ste 207, East Northport, NY 11731-4205 Ph: (631) 266-4501 |
Joseph Kleynowski, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 279 Larkfield Rd, East Northport, NY 11731 Phone: 631-262-1370 Fax: 631-262-0415 | |
Amy Piacentini, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 5 Alister Cir, East Northport, NY 11731 Phone: 631-543-7771 | |
Paul Henry Vazquez, M.S., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 457 Clay Pitts Rd, East Northport, NY 11731 Phone: 631-486-8572 Fax: 631-368-4975 | |
Ms. Kathleen C Fruehsamer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Wood Sorrell Ln, East Northport, NY 11731 Phone: 631-368-8009 | |
Emily Connolly, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9a Hewitt Sq, East Northport, NY 11731 Phone: 631-721-9530 | |
Graceanne Lopez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3072 Jericho Tpke, East Northport, NY 11731 Phone: 631-462-9595 |