MEDICARE: ANGOLA 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
1	2251X0800X	Orthopedic Physical Therapist	010200-1	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1326208315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGOLA PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	8505 ERIE RD.
Second Line	:
City	:	ANGOLA
State	:	NY
Zip	:	14006-9703
Country	:	US
Telephone Number	:	716-549-1099
Fax Number	:	716-549-2293

Provider Business Practice Location Address
First Line	:	8505 ERIE RD.
Second Line	:
City	:	ANGOLA
State	:	NY
Zip	:	14006-9703
Country	:	US
Telephone Number	:	716-549-1099
Fax Number	:	716-549-2293

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SEAN KEVIN MCGARRITY
Credential	:	PT, DPT
Telephone Number	:	716-549-1099

Provider Enumeration Date	:	06/12/2008
Last Update Date	:	09/12/2012

Similar Medicare Providers

1992883342 — DR. SEAN KEVIN MCGARRITY PT DPT
Practice Location Address:

ANGOLA PHYSICAL THERAPY, P.C. , 8505 ERIE RD.
ANGOLA, NY
14006-9703

Practice Phone: 716-549-1099
Practice Fax: 716-549-2293

1417155052 — DR. MARY SHARON WERTH PT, DPT
Practice Location Address:

8505 ERIE RD
ANGOLA, NY
14006-9703

Practice Phone: 716-549-1099
Practice Fax: 716-549-2293

1265789804 — ASHLEY MARIE NORMAN
Practice Location Address:

8505 ERIE RD
ANGOLA, NY
14006-9703

Practice Phone: 716-549-1099
Practice Fax:

1942298203 — DR. MICHAEL PANTERA DDS
Practice Location Address:

905 LAKE ST
ANGOLA, NY
14006-9281

Practice Phone: 716-549-3704
Practice Fax:

1437140191 — DR. BERNARD M EISEN DDS
Practice Location Address:

21 CENTER STREET
ANGOLA, NY
14006

Practice Phone: 716-549-3111
Practice Fax: 716-549-5667

1639102874 — MARIA RITA P. ANDAYA M.D.
Practice Location Address:

286 N MAIN ST
ANGOLA, NY
14006-1032

Practice Phone: 716-549-4724
Practice Fax:

Directions to “ANGOLA PHYSICAL THERAPY PC ” Practice Location

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