Ryan Thomas Kelley, | |
331 Veranda St Ste 401, Portland, ME 04103-5545 | |
(207) 536-0702 | |
(207) 536-0785 |
Full Name | Ryan Thomas Kelley |
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Gender | Male |
Speciality | Physical Therapist |
Location | 331 Veranda St Ste 401, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457134223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT6675 (Maine) | Primary |
Provider Name | Pinnacle Rehabilitation Network Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1437247095 PECOS PAC ID: 7618872086 Enrollment ID: O20120830000519 |
Mailing Address | Practice Location Address |
---|---|
Ryan Thomas Kelley, 73 Newton Rd Unit 101, Plaistow, NH 03865-2440 Ph: (978) 388-7272 | Ryan Thomas Kelley, 331 Veranda St Ste 401, Portland, ME 04103-5545 Ph: (207) 536-0702 |
Dr. Samuel Brian Methot, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 331 Veranda St Ste 401, Portland, ME 04103 Phone: 207-536-0702 Fax: 207-536-0785 | |
Alison Glass, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4892 | |
Rebecca Naomi Lewis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 914-715-0610 | |
Wendy A Richards, MS PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 94 Auburn St, Suite 3, Portland, ME 04103 Phone: 207-797-7578 Fax: 207-797-8165 | |
Gianna Gabrielle Pezzano, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 331 Veranda St Rm 3311, Portland, ME 04103 Phone: 207-536-0702 Fax: 207-536-0785 | |
Dr. Elizabeth Goodrich, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 561 Congress St, Portland, ME 04101 Phone: 207-536-4968 | |
Alliance Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Veranda St Ste 401, Portland, ME 04103 Phone: 207-536-0702 Fax: 207-536-0785 |