Brian Thomas Diksa (NPI# 1083672687, PAC ID# 2769815125) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1083672687 |
PAC ID by PECOS | 2769815125 |
Professional Enrollment ID | I20191126001046 |
Full Name | Brian Thomas Diksa |
Organization Legal Name | FULL RANGE PHYSICAL THERAPY, LLC |
Address |
4302 Woodland Ave Drexel Hill PA 19026-4324 |
Phone Number | 6102412685 |
Gender | M |
Graduation Year | 2006 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 3577789452 |
Number of Group Practice Members | 20 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4302 Woodland Ave, Drexel Hill, PA 19026-4324 | 6102412685 | FULL RANGE PHYSICAL THERAPY, LLC |
10102 Valley Forge Cir, Suite 102a, King of Prussia, PA 19406-1111 | 61024126852 | FULL RANGE PHYSICAL THERAPY, LLC |
Organization Legal Name | FULL RANGE PHYSICAL THERAPY, LLC |
Physicians | 23 |
Name | Specialty | Organization | Address |
---|---|---|---|
Naamon Christopher Johnson | Physical Therapy | Full Range Physical Therapy, LLC | 307 W Boot Rd, West Chester, PA 19380-1109 |
Jacquelyn Repice | Occupational Therapy | Full Range Physical Therapy, LLC | 10102 Valley Forge Cir, Suite 102a, King of Prussia, PA 19406-1111 |
Sara E Marano | Physical Therapy | Full Range Physical Therapy, LLC | 207 Flagstone Rd, Chester Springs, PA 19425-3826 |
Philip Lindsay | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Maureen Cunningham | Occupational Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Megan A Patro | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Kelsey Kraynak | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Michael Jospeh Mcdevitt Jr. | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Kristen B Davidson | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Gianna Marie Letinski | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Street Address |
4302 WOODLAND AVE |
City | DREXEL HILL |
State | PA |
Zip | 19026-4324 |
Name | Specialty | Organization | Address |
---|---|---|---|
Philip Lindsay | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Maureen Cunningham | Occupational Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Megan A Patro | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Kelsey Kraynak | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Michael Jospeh Mcdevitt Jr. | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Kristen B Davidson | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Gianna Marie Letinski | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Tonia Virnelson | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Patrick Rutledge | Physical Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Jodi A Petrillo Botte | Occupational Therapy | Full Range Physical Therapy, LLC | 4302 Woodland Ave, Drexel Hill, PA 19026-4324 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward E Villanueva | Podiatry | 2501 Garrett Rd, Drexel Hill, PA 19026-1010 | |
Robert C Madonna Jr. | Family Medicine | 2504 Garrett Rd, Drexel Hill, PA 19026-1011 | |
Paul X Benedetto | Dermatology | Benedetto Dermatology LLC | 2221 Garrett Rd, Drexel Hill, PA 19026-1101 |
Edward M Bleeden | Internal Medicine | Edward M Bleeden M D P C | 2235 Garrett Rd, Drexel Hill, PA 19026-1101 |
Peter L King | Podiatry | 2245 Garrett Rd, Drexel Hill, PA 19026-1101 | |
Ernest A Benedetto | Dermatology | Benedetto Dermatology LLC | 2221 Garrett Rd, Drexel Hill, PA 19026-1101 |
Anthony Vincent Benedetto | Dermatology | Benedetto Dermatology LLC | 2221 Garrett Rd, Drexel Hill, PA 19026-1101 |
Edward J Block | Podiatry | 2245 Garrett Rd, Drexel Hill, PA 19026-1101 | |
Nicholas Hatges | Oral Surgery | Daniel J. Daley, Jr., Dds, PC | 2300 Garrett Rd, Drexel Hill, PA 19026-1102 |
Richard James Clark Iii | Oral Surgery | Daniel J. Daley, Jr., Dds, PC | 2300 Garrett Rd, Drexel Hill, PA 19026-1102 |
Find all physicians in zip 19026 |
City | DREXEL HILL |
Zip Code | 19026 |
Specialty | PHYSICAL THERAPY |
City + Specialty | DREXEL HILL + 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.