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NPI Code Detail

MEDICARE: HOMER PHYSICAL THERAPY, PC

MEDICARE: HOMER PHYSICAL THERAPY, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center0258401NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
256533AOTHERNYUNSPECIFIED

General Provider Information

NPI Number : 1952627044
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMER PHYSICAL THERAPY, PC
Provider Business Mailing Address
First Line : 84 CORTLAND ST
Second Line :
City : HOMER
State : NY
Zip : 13077-1517
Country : US
Telephone Number : 607-749-2219
Fax Number : 607-749-2286
Provider Business Practice Location Address
First Line : 84 CORTLAND ST
Second Line :
City : HOMER
State : NY
Zip : 13077-1517
Country : US
Telephone Number : 607-749-2219
Fax Number : 607-749-2286
Authorized Official
Title or Position : OWNER
Name : MR. EHREN HEYER
Credential : PT
Telephone Number : 607-749-2219
Provider Enumeration Date : 04/14/2010
Last Update Date : 09/23/2021

Similar Medicare Providers

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1427334333 — KAETHE WEINGARTEN
Practice Location Address:
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Directions to “HOMER PHYSICAL THERAPY, PC ” Practice Location

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