| Southern Tier Physical Therapy Associates Pc | |
|
200 Front St, Suite D, Vestal, NY 13850-1559 | |
| (607) 754-1776 | |
| (607) 748-5465 |
| Full Name | Southern Tier Physical Therapy Associates Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 200 Front St, Vestal, 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 |
|---|---|---|---|
| 1831248798 | NPI | - | NPPES |
| 01501697 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Matthew J Mcmahon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114165545 PECOS PAC ID: 9234321175 Enrollment ID: I20101011000081 |
| Provider Name | Thomas Janik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588778468 PECOS PAC ID: 3971777657 Enrollment ID: I20111115000047 |
| Provider Name | Renee Barkwell-wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407966401 PECOS PAC ID: 4587838958 Enrollment ID: I20111121000616 |
| Provider Name | Joshua J Hundley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033534573 PECOS PAC ID: 0547484933 Enrollment ID: I20140604001379 |
| Provider Name | Kelsey Heller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093214165 PECOS PAC ID: 4789924358 Enrollment ID: I20190318001392 |
| Provider Name | Desirae Samiani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750925533 PECOS PAC ID: 0042690091 Enrollment ID: I20220707003193 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Tier Physical Therapy Associates Pc 200 Front St, Suite D, Vestal, NY 13850-1559 Ph: (607) 754-1776 | Southern Tier Physical Therapy Associates Pc 200 Front St, Suite D, Vestal, NY 13850-1559 Ph: (607) 754-1776 |
Thomas L Komor, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4433 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-762-2176 | |
John Todd Mansfield, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Front St, Suite D, Vestal, NY 13850 Phone: 607-754-1776 Fax: 607-748-5465 | |
Mrs. Brittany Mallonga, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1105 Hillside Dr, Vestal, NY 13850 Phone: 607-759-0968 | |
Dr. Katherine S Barnhart, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 Shippers Rd Ste 108, Vestal, NY 13850 Phone: 607-251-2200 | |
David Martin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-240-9120 | |
Anjana Ashok, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1715 Castle Gardens Rd, Suite 105, Vestal, NY 13850 Phone: 607-484-5079 Fax: 631-467-0928 | |
Kelsey Elaine Wallach, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Front St, Suite D, Vestal, NY 13850 Phone: 607-754-1776 Fax: 607-748-5465 |