Dr Blake Ponist, OT | |
801 Corporate Centre Dr, O Fallon, MO 63368-8685 | |
(636) 851-4000 | |
Not Available |
Full Name | Dr Blake Ponist |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 6 Years |
Location | 801 Corporate Centre Dr, O Fallon, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932675766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 31006729A (Indiana) | Secondary |
225X00000X | Occupational Therapist | 2024012844 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Accelerated Rehabilitation Centers Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040416000404 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20110309000231 |
Mailing Address | Practice Location Address |
---|---|
Dr Blake Ponist, OT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6250 | Dr Blake Ponist, OT 801 Corporate Centre Dr, O Fallon, MO 63368-8685 Ph: (636) 851-4000 |
Mrs. Jennifer Gandolfo, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1307 Soft Crossing Ln, O Fallon, MO 63366 Phone: 314-440-8985 | |
Elizabeth Conner, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2120 Bryan Valley Commercial Dr, O Fallon, MO 63366 Phone: 636-240-8096 | |
Mrs. Keri Lynn Dunivan, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 329 Falcon Hill Dr, O Fallon, MO 63368 Phone: 636-278-0191 | |
Rachel Erdmann, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Garden Path, O Fallon, MO 63366 Phone: 636-978-2148 | |
Hannah Renee Hedrick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7068 S Outer 364, O Fallon, MO 63368 Phone: 636-240-6100 | |
Mrs. Carla Louise Douglas, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Fawn Oaks Dr, O Fallon, MO 63366 Phone: 314-452-4947 Fax: 636-379-9655 | |
Colleen Ann Redington, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Sandtrap Ct, O Fallon, MO 63368 Phone: 636-795-3913 |