Austin Craven (NPI# 1770059909, PAC ID# 5395089148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1770059909 |
| PAC ID by PECOS | 5395089148 |
| Professional Enrollment ID | I20181205000172 |
| Full Name | Austin Craven |
| Organization Legal Name | BOUNCE BACK PHYSICAL THERAPY INC. |
| Address |
74 Rittenhouse Pl Ardmore PA 19003-2227 |
| Phone Number | 4844132973 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5799711578 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 74 Rittenhouse Pl, Ardmore, PA 19003-2227 | 4844132973 | BOUNCE BACK PHYSICAL THERAPY INC. |
| 215 Sugartown Rd, Wayne, PA 19087-3137 | 4845820660 | BOUNCE BACK PHYSICAL THERAPY INC. |
| Organization Legal Name | BOUNCE BACK PHYSICAL THERAPY INC. |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charan Tony Chadha | Physical Therapy | Bounce Back Physical Therapy Inc. | 215 Sugartown Rd, Wayne, PA 19087-3137 |
| Payal Antala | Physical Therapy | Bounce Back Physical Therapy Inc. | 215 Sugartown Rd, Wayne, PA 19087-3137 |
| Nathaniel Haas | Physical Therapy | Bounce Back Physical Therapy Inc. | 215 Sugartown Rd, Wayne, PA 19087-3137 |
| Alison L Iacobucci | Physical Therapy | Bounce Back Physical Therapy Inc. | 215 Sugartown Rd, Wayne, PA 19087-3137 |
| Stephanie L Sposato | Physical Therapy | Bounce Back Physical Therapy Inc. | 215 Sugartown Rd, Wayne, PA 19087-3137 |
| Melinda M Walz | Physical Therapy | Bounce Back Physical Therapy Inc. | 215 Sugartown Rd, Wayne, PA 19087-3137 |
| Street Address |
74 RITTENHOUSE PL |
| City | ARDMORE |
| State | PA |
| Zip | 19003-2227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arlene B. Kramer | Clinical Social Worker | 700 Ardmore Ave, Apt 217, Ardmore, PA 19003-1106 | |
| Darlene M Digorio-hevner | Clinical Social Worker | 326 W Lancaster Ave, Suite 211, Ardmore, PA 19003-1228 | |
| Avigad Lilya Feldman | Nurse Practitioner | Rediclinic of Pa, LLC | 169 W Lancaster Ave, Ardmore, PA 19003-1401 |
| Kevin J Hammel | Nurse Practitioner | Rediclinic of Pa, LLC | 169 W Lancaster Ave, Ardmore, PA 19003-1401 |
| Tetyana Demkovych | Nurse Practitioner | Rediclinic of Pa, LLC | 169 W Lancaster Ave, Ardmore, PA 19003-1401 |
| Sharia N Chancey | Nurse Practitioner | Rediclinic of Pa, LLC | 169 W Lancaster Ave, Ardmore, PA 19003-1401 |
| Louis Philip Bucky | Plastic and Reconstructive Surgery | 200 W Montgomery Ave, Ardmore, PA 19003-1416 | |
| James Robert Hall | Optometry | 11 W Lancaster Ave, Frnt Ardmore Eye Care, Ardmore, PA 19003-1445 | |
| Vicky P Berberian | Family Medicine | 647 Ardmore Ave, Ardmore, PA 19003-1831 | |
| Howard J Benjamin | Chiropractic | 723 Ardmore Ave, Ardmore, PA 19003-1835 | |
| Find all physicians in zip 19003 | |||
| City | ARDMORE |
| Zip Code | 19003 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ARDMORE + 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.