Ethan Mix (NPI# 1295108090, PAC ID# 7618270463) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1295108090 |
| PAC ID by PECOS | 7618270463 |
| Professional Enrollment ID | I20160128000730 |
| Full Name | Ethan Mix |
| Organization Legal Name | AGAPE PHYSICAL THERAPY |
| Address |
880 Elmgrove Rd Rochester NY 14624-1320 |
| Phone Number | 5852478535 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1153302823 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 92 W Ave, Brockport, NY 14420-1306 | 7166370790 | AGAPE PHYSICAL THERAPY |
| 880 Elmgrove Rd, Rochester, NY 14624-1320 | 5852478535 | AGAPE PHYSICAL THERAPY |
| 880 Elmgrove Rd, Suite 2, Rochester, NY 14624-1320 | 5852478535 | AGAPE PHYSICAL THERAPY |
| Organization Legal Name | AGAPE PHYSICAL THERAPY |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam S Krahmer | Physical Therapy | Agape Physical Therapy | 92 W Ave, Brockport, NY 14420-1306 |
| Jason M Wambold | Physical Therapy | Agape Physical Therapy | 1075 Ridge Rd, Webster, NY 14580-2982 |
| Kristina Lee Dimartino | Physical Therapy | Agape Physical Therapy | 92 W Ave, Brockport, NY 14420-1306 |
| Andrew J Siergiej | Physical Therapy | Agape Physical Therapy | 92 W Ave, Brockport, NY 14420-1306 |
| Daniel Strack | Physical Therapy | Agape Physical Therapy | 92 W Ave, Brockport, NY 14420-1306 |
| Michael R Hughes | Physical Therapy | Agape Physical Therapy | 92 W Ave, Brockport, NY 14420-1306 |
| Brett Stokoe | Physical Therapy | Agape Physical Therapy | 92 W Ave, Brockport, NY 14420-1306 |
| Katherine Cox | Physical Therapy | Agape Physical Therapy | 92 W Ave, Brockport, NY 14420-1306 |
| Alyssa A Dimartino | Physical Therapy | Agape Physical Therapy | 92 W Ave, Brockport, NY 14420-1306 |
| Catherine F Losurdo | Physical Therapy | Agape Physical Therapy | 92 W Ave, Brockport, NY 14420-1306 |
| Street Address |
880 ELMGROVE RD |
| City | ROCHESTER |
| State | NY |
| Zip | 14624-1320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley Casper | Physical Therapy | Agape Physical Therapy | 880 Elmgrove Rd, Suite 2, Rochester, NY 14624-1320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James P Hildebrand | Chiropractic | Chiropractic Orthopedics and Rehabilitation LLP | 2755 Buffalo Rd, Rochester, NY 14624-1304 |
| Fred Sanfilipo | Chiropractic | Chiropractic Orthopedics and Rehabilitation LLP | 2755 Buffalo Rd, Rochester, NY 14624-1304 |
| Hwaok Kim | Internal Medicine | 2735 Buffalo Rd, Suite 1, Rochester, NY 14624-1337 | |
| William Fuhrmann | Physician Assistant | Gates Family Medicine LLC | 2870 Buffalo Rd, Rochester, NY 14624-1340 |
| Janice Mckae | Physician Assistant | Gates Family Medicine LLC | 2870 Buffalo Rd, Rochester, NY 14624-1340 |
| Cheryl A Herrmann | Family Medicine | Gates Family Medicine LLC | 2870 Buffalo Rd, Rochester, NY 14624-1340 |
| Rickey Herrmann | Family Medicine | Gates Family Medicine LLC | 2870 Buffalo Rd, Rochester, NY 14624-1340 |
| Sandra Fahim Koehn | Internal Medicine | The Unity Hospital of Rochester | 2300 Buffalo Rd, Bldg 800, Rochester, NY 14624-1360 |
| Sunitha Bollineni | Internal Medicine | The Unity Hospital of Rochester | 2300 Buffalo Rd, Bldg 800, Rochester, NY 14624-1360 |
| Robert L Dixon Gordon | Internal Medicine | The Unity Hospital of Rochester | 2300 Buffalo Rd, Bldg 800, Rochester, NY 14624-1360 |
| Find all physicians in zip 14624 | |||
| City | ROCHESTER |
| Zip Code | 14624 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ROCHESTER + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Ethan Mix.
| 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.