Richard D Ivy, LPT | |
335 Billingsley Rd, Charlotte, NC 28211-1040 | |
(704) 335-1911 | |
(704) 343-0811 |
Full Name | Richard D Ivy |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 335 Billingsley Rd, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255394219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 5452 (North Carolina) | Primary |
Entity Name | North Carolina Luna Care Physical Therapy Llc |
---|---|
Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1124626148 PECOS PAC ID: 8921418757 Enrollment ID: O20210119001592 |
Mailing Address | Practice Location Address |
---|---|
Richard D Ivy, LPT 335 Billingsley Rd, Charlotte, NC 28211-1040 Ph: (704) 335-1911 | Richard D Ivy, LPT 335 Billingsley Rd, Charlotte, NC 28211-1040 Ph: (704) 335-1911 |
Tiffany Hairston, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2144 Maplecrest Dr, Charlotte, NC 28212 Phone: 980-230-9405 | |
Antonio Tom Howard, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5735 Prosperity Crossing Dr, Ste 2100, Charlotte, NC 28269 Phone: 704-863-4878 | |
William L. Bockenek, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-9330 | |
Mr. George Crosby Iii, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1918 Randolph Rd, Ste 600, Charlotte, NC 28207 Phone: 704-342-0252 Fax: 704-342-1853 | |
Leon M. Chandler, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 10648 Park Rd, Charlotte, NC 28210 Phone: 704-355-9330 | |
Swaroop Sadashiv Gonchikar, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2001 Randolph Rd, Charlotte, NC 28207 Phone: 704-323-2000 | |
Leigh Ann Comerci, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4000 |