| Tyshon Scanlon-bradley, DPT | |
|
244 Route 206 Ste 3, Flanders, NJ 07836-9197 | |
| (973) 598-3077 | |
| Not Available |
| Full Name | Tyshon Scanlon-bradley |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 244 Route 206 Ste 3, Flanders, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912739897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02273100 (New Jersey) | Primary |
| Provider Name | Drayer Physical Therapy Of New Jersey Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568887875 PECOS PAC ID: 6204050164 Enrollment ID: O20140616000844 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyshon Scanlon-bradley, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () - | Tyshon Scanlon-bradley, DPT 244 Route 206 Ste 3, Flanders, NJ 07836-9197 Ph: (973) 598-3077 |
Mrs. Nancy R Kirsch, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 272 Route 206, Flanders, NJ 07836 Phone: 973-927-3034 | |
Colleen M Drahos, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 272 Us Highway 206, Suite 210, Flanders, NJ 07836 Phone: 973-927-3034 Fax: 973-927-2853 | |
Dr. John Kenneth Fabbiani, PT,DPT,CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 244 Route 206 Ste 3, Flanders, NJ 07836 Phone: 973-598-3077 | |
Lorraine Fierro, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 244 Route 206 South, Suite 3, Flanders, NJ 07836 Phone: 973-598-3077 Fax: 973-598-3097 | |
Marla J Ranieri, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 244 Route 206 South, Suite 3, Flanders, NJ 07836 Phone: 973-598-3077 Fax: 973-598-3097 | |
Dr. Peter Marsicano Iv, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 293 Route 206 Unit 10, Flanders, NJ 07836 Phone: 908-955-0071 | |
Drayer Physical Therapy Of New Jersey Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 244 Route 206, Suite 3, Flanders, NJ 07836 Phone: 973-598-3077 Fax: 973-598-3097 |