| Shevvie Sialana, | |
|
6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 | |
| (718) 456-2543 | |
| (718) 559-6784 |
| Full Name | Shevvie Sialana |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 6805 Fresh Pond Rd, Ridgewood, 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 |
|---|---|---|---|
| 1568009116 | NPI | - | NPPES |
| 044144 | Other | NY | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 044144 (New York) | Primary |
| Provider Name | Fresh Pond Physical Therapy, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508844036 PECOS PAC ID: 4486605342 Enrollment ID: O20050208000670 |
| Provider Name | Spear Physical And Occupational Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063454577 PECOS PAC ID: 6901832112 Enrollment ID: O20050711000390 |
| Provider Name | Grzegorz Wolski Pt Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467641209 PECOS PAC ID: 5193809945 Enrollment ID: O20080303000702 |
| Provider Name | New York Luna Care Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194314062 PECOS PAC ID: 0840604666 Enrollment ID: O20210205001168 |
| Mailing Address | Practice Location Address |
|---|---|
| Shevvie Sialana, 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 Ph: (718) 456-2543 | Shevvie Sialana, 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 Ph: (718) 456-2543 |
Redcore Physical Therapy And Rehabiitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 311 St Nicholas Avenue, Suite E- Basement, Ridgewood, NY 11385 Phone: 718-509-9888 Fax: 718-509-6144 | |
Bhavna Rajesh Devnani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 929-299-6505 | |
Stacie Malner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1666 Hancock St, Ridgewood, NY 11385 Phone: 718-456-7588 | |
Bryan Joseph Gicana De La Cruz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 865 Cypress Ave, Ridgewood, NY 11385 Phone: 848-667-0943 Fax: 848-667-0943 | |
Jamelle Rosette Santos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784 | |
Ruchi Modi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784 | |
Mrs. Elenita Bautista Oliver, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1732 Dekalb Ave, Ridgewood, NY 11385 Phone: 718-386-3124 |