Marissa M Hanlon (NPI# 1962859553, PAC ID# 2668439282) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1962859553 |
PAC ID by PECOS | 2668439282 |
Professional Enrollment ID | I20041221000319 |
Full Name | Marissa M Hanlon |
Organization Legal Name | PERFORMANCE PHYSICAL THERAPY PC |
Address |
323 Route 5 W Elbridge NY 13060 |
Phone Number | 3156897989 |
Gender | F |
Credential | PT |
Graduation Year | 2004 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 2062301831 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
323 Route 5 W, Elbridge, NY 13060 | 3156897989 | PERFORMANCE PHYSICAL THERAPY PC |
10 Canalview Mall C, Fulton, NY 13069-1769 | 3155938786 | PERFORMANCE PHYSICAL THERAPY PC |
Organization Legal Name | PERFORMANCE PHYSICAL THERAPY PC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ryan Kyle Martin | Physical Therapy | Performance Physical Therapy PC | 10 Canalview Mall C, Fulton, NY 13069-1769 |
Jeffrey Wilson | Physical Therapy | Performance Physical Therapy PC | 323 Route 5 W, Elbridge, NY 13060 |
Michael W Fay | Physical Therapy | Performance Physical Therapy PC | 10 Canalview Mall C, Fulton, NY 13069-1769 |
Street Address |
323 ROUTE 5 W |
City | ELBRIDGE |
State | NY |
Zip | 13060 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey Wilson | Physical Therapy | Performance Physical Therapy PC | 323 Route 5 W, Elbridge, NY 13060 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nicholas S Gilfus | Nurse Practitioner | 247 E Main St, Elbridge, NY 13060-8706 | |
David J Martin | Internal Medicine | 247 E Main St, Elbridge, NY 13060-8706 | |
Karen Vitkus | Nurse Practitioner | Familycare Medical Group PC | 5566 Jordan Rd, Elbridge, NY 13060-9617 |
City | ELBRIDGE |
Zip Code | 13060 |
Specialty | PHYSICAL THERAPY |
City + Specialty | ELBRIDGE + PHYSICAL THERAPY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.