| Shelby Sienna Goore, PT, DPT | |
|
55 Broadway Mall, Hornell, NY 14843-1919 | |
| (607) 324-9344 | |
| (607) 324-9345 |
| Full Name | Shelby Sienna Goore |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 55 Broadway Mall, Hornell, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336903285 | NPI | - | NPPES |
| 052062 | Other | NY | NYS PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 052062 (New York) | Primary |
| Provider Name | Maple City Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821411802 PECOS PAC ID: 4789800467 Enrollment ID: O20140801001864 |
| Provider Name | Chemung-schuyler Counties Chapter, Nysarc, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174146401 PECOS PAC ID: 3577980622 Enrollment ID: O20200903000937 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Sienna Goore, PT, DPT 55 Broadway Mall, Hornell, NY 14843-1919 Ph: (607) 324-9344 | Shelby Sienna Goore, PT, DPT 55 Broadway Mall, Hornell, NY 14843-1919 Ph: (607) 324-9344 |
Susan Murphy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 Canisteo St, Hornell, NY 14843 Phone: 607-324-8000 | |
Travis Charles Enser, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Loder St, Suite 105, Hornell, NY 14843 Phone: 607-324-9344 Fax: 607-324-9345 | |
Tyler Evan Phillips, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Loder St Ste 105, Hornell, NY 14843 Phone: 607-324-9344 Fax: 607-324-9345 | |
Ms. Deborah M Towle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Loder St, Hornell, NY 14843 Phone: 607-324-9344 Fax: 607-324-9345 | |
Christopher Donegan, PT/DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 Canisteo St, Hornell, NY 14843 Phone: 607-324-8000 | |
Mrs. Jolene Marie O'brien, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Seneca St, Gst Boces, Hornell, NY 14843 Phone: 607-324-1525 | |
Myranda Gumtow, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Loder St Ste 105, Hornell, NY 14843 Phone: 607-324-9344 Fax: 607-324-9345 |