Matthew M Kavanaugh (NPI# 1003958174, PAC ID# 3971561465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1003958174 |
| PAC ID by PECOS | 3971561465 |
| Professional Enrollment ID | I20041230000258 |
| Full Name | Matthew M Kavanaugh |
| Organization Legal Name | ORTHOSPORT PHYSICAL THERAPY PC |
| Address |
333 Route 25a Suite 240 Rocky Point NY 11778-8555 |
| Phone Number | 6318215500 |
| Gender | M |
| Credential | PT |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6204885452 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 333 Route 25a, Suite 240, Rocky Point, NY 11778-8555 | 6318215500 | ORTHOSPORT PHYSICAL THERAPY PC |
| Organization Legal Name | ORTHOSPORT PHYSICAL THERAPY PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony L Derosa | Physical Therapy | Orthosport Physical Therapy PC | 333 Route 25a, Suite 240, Rocky Point, NY 11778-8555 |
| Street Address |
333 ROUTE 25A SUITE 240 |
| City | ROCKY POINT |
| State | NY |
| Zip | 11778-8555 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony L Derosa | Physical Therapy | Orthosport Physical Therapy PC | 333 Route 25a, Suite 240, Rocky Point, NY 11778-8555 |
| John Gil | Family Medicine | 333 Route 25a, Suite 40, Rocky Point, NY 11778-8569 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Kormylo | Podiatry | 745 Route 25a B, Box 5153, Rocky Point, NY 11778-0969 | |
| Richard John Pisacone | Physical Therapy | Sherrie Glasser Physical Therapist PC | 745 Route 25a, Rocky Point, NY 11778-6603 |
| Anita N Biswas | Nurse Practitioner | Harbor View Medical Services PC | 745 Route 25a, Suite A, Rocky Point, NY 11778-6603 |
| Alisa Romero | Physical Therapy | Sherrie Glasser Physical Therapist PC | 745 Route 25a, Rocky Point, NY 11778-6603 |
| Lara Borg | Occupational Therapy | Metro Occupational and Physical Therapy, Pllc | 745 Route 25a, Rocky Point, NY 11778-6603 |
| Charles Greco | Clinical Social Worker | 586 Route 25a, Rocky Point, NY 11778-7006 | |
| Shawn L Masia | Neurology | American Neuromonitoring Associates, PC | 1 Wildwood Rd, Rocky Point, NY 11778-8121 |
| David A Gentile | Osteopathic Manipulative Medicine | 797 Route 25a, Rocky Point, NY 11778-8562 | |
| Anthony K Bolton | Psychologist, Clinical | 170 Route 25a, Rocky Point, NY 11778-8750 | |
| David J Stern | Physical Therapy | 532 Route 25a, Rocky Point, NY 11778-8759 | |
| Find all physicians in zip 11778 | |||
| City | ROCKY POINT |
| Zip Code | 11778 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ROCKY POINT + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Matthew M Kavanaugh.
| 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.