MEDICARE: WATERFORD PHYSICAL THERAPY, INC.

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	225100000X	Physical Therapist

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	:	1770598419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WATERFORD PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	991 ROUTE 19 N STE E
Second Line	:
City	:	WATERFORD
State	:	PA
Zip	:	16441-9739
Country	:	US
Telephone Number	:	814-796-3400
Fax Number	:	814-796-8533

Provider Business Practice Location Address
First Line	:	991 ROUTE 19 N STE E
Second Line	:
City	:	WATERFORD
State	:	PA
Zip	:	16441-9739
Country	:	US
Telephone Number	:	814-796-3400
Fax Number	:	814-796-8533

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GREGORY LEE WAITE
Credential	:
Telephone Number	:	814-796-3400

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	04/21/2011

Similar Medicare Providers

1497750129 — NATHAN M MOORE MD
Practice Location Address:

991 ROUTE 19 N STE B
WATERFORD, PA
16441-9739

Practice Phone: 814-877-8790
Practice Fax: 814-877-8792

1912986605 — CARL E EBY MD
Practice Location Address:

991 ROUTE 19 N STE B
WATERFORD, PA
16441-9739

Practice Phone: 814-877-8790
Practice Fax: 814-796-4238

1013974039 — CRAIG DOUGLAS CALDWELL DO
Practice Location Address:

991 ROUTE 19 N STE B
WATERFORD, PA
16441-9739

Practice Phone: 814-796-2553
Practice Fax: 814-796-4238

1447469234 — BRYAN LEO BATKIEWICZ PT
Practice Location Address:

991 ROUTE 19 N STE E
WATERFORD, PA
16441-9739

Practice Phone: 814-796-3400
Practice Fax: 814-796-8533

1942467659 — REGIONAL HEALTH SERVICES, INC.
Practice Location Address:

991 ROUTE 19 N , SUITE B
WATERFORD, PA
16441-9739

Practice Phone: 814-796-2553
Practice Fax: 814-796-4238

1184881575 — REGIONAL HEALTH SERVICES INC
Practice Location Address:

991 ROUTE 19 , SUITE B
WATERFORD, PA
16441-9739

Practice Phone: 814-796-2553
Practice Fax: 814-796-4238

Directions to “WATERFORD PHYSICAL THERAPY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.