Wirth Physical Therapy Pc | |
650 Hawkins Ave Ste 4, Lake Ronkonkoma, NY 11779-2366 | |
(631) 981-7422 | |
(631) 981-2490 |
Full Name | Wirth Physical Therapy Pc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 650 Hawkins Ave Ste 4, Lake Ronkonkoma, 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 |
---|---|---|---|
1851958490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Michael Joseph Wirth |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306180583 PECOS PAC ID: 2860738978 Enrollment ID: I20190110001955 |
Mailing Address | Practice Location Address |
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Wirth Physical Therapy Pc 650 Hawkins Ave Ste 4, Lake Ronkonkoma, NY 11779-2366 Ph: (631) 981-7422 | Wirth Physical Therapy Pc 650 Hawkins Ave Ste 4, Lake Ronkonkoma, NY 11779-2366 Ph: (631) 981-7422 |
Mrs. Kimberly Messina, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 45 Rosevale Ave, Lake Ronkonkoma, NY 11779 Phone: 631-585-3585 Fax: 631-585-3585 | |
Dr. Michael Wirth, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 650 Hawkins Ave, Ste 4, Lake Ronkonkoma, NY 11779 Phone: 631-981-7422 Fax: 631-981-2490 | |
Tracey Lynn Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 167 Smith Rd, Lake Ronkonkoma, NY 11779 Phone: 631-348-1389 | |
Barbara M. Conner, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Church Pl, Lake Ronkonkoma, NY 11779 Phone: 631-588-8195 | |
Gnlc Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 Portion Rd, Suite5, Lake Ronkonkoma, NY 11779 Phone: 631-588-2100 Fax: 631-588-2299 | |
Mrs. Kristy A Goodman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 Hawkins Ave Ste 1, Lake Ronkonkoma, NY 11779 Phone: 631-467-4221 Fax: 631-467-4233 | |
Kerri Hamilton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 484 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-467-4221 Fax: 631-467-4233 |