Andrew Wiggers, PT | |
900 Main St, Suite 450, Peoria, IL 61602-1005 | |
(309) 672-4568 | |
(309) 672-4569 |
Full Name | Andrew Wiggers |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 900 Main St, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760642839 | NPI | - | NPPES |
P01162435 | Other | IL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Illinois) | Primary |
Provider Name | Professional Therapy Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578615225 PECOS PAC ID: 0345145843 Enrollment ID: O20031205000615 |
Mailing Address | Practice Location Address |
---|---|
Andrew Wiggers, PT 900 Main St, Suite 450, Peoria, IL 61602-1005 Ph: (309) 672-4568 | Andrew Wiggers, PT 900 Main St, Suite 450, Peoria, IL 61602-1005 Ph: (309) 672-4568 |
Michelle C Bayer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2338 W Van Winkle Way, Suite 3100, Peoria, IL 61615 Phone: 309-693-9189 Fax: 309-693-9946 | |
Payton Hufnagel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-883-5070 | |
Jonathan R Sutter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-4109 | |
Matthew Schultz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-621-4111 | |
Molly D Lisenby, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5009 N Executive Dr Ste B, Peoria, IL 61614 Phone: 309-839-8631 Fax: 855-579-3536 | |
Vanessa L Halstead, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-687-2035 | |
Mrs. Theresa L. Snedden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-692-8110 |