Beacon Physical Therapy | |
3221 Beacon Parkway Ste 100, Granger, IN 46530-7196 | |
(574) 647-2930 | |
(574) 647-2935 |
Full Name | Beacon Physical Therapy |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 3221 Beacon Parkway Ste 100, Granger, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386154821 | NPI | - | NPPES |
300009541 | Medicaid | IN | |
300008838 | Medicaid | IN | |
300063973 | Medicaid | IN | |
300009047 | Medicaid | IN | |
300024766 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Steven K Lawrence |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083628127 PECOS PAC ID: 4880657634 Enrollment ID: I20041111000763 |
Provider Name | Elizabeth F Linn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831114404 PECOS PAC ID: 9335165471 Enrollment ID: I20051018001191 |
Provider Name | Linda Byrd |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770697161 PECOS PAC ID: 9830112887 Enrollment ID: I20060105000479 |
Provider Name | Randall G Brooks |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184660870 PECOS PAC ID: 7315914322 Enrollment ID: I20080331000432 |
Provider Name | Michael K Henderson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659463354 PECOS PAC ID: 8022252303 Enrollment ID: I20130926000825 |
Provider Name | Emilia M Kareem |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194138677 PECOS PAC ID: 8426272394 Enrollment ID: I20140616001046 |
Provider Name | Rachael L Talbot |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730331992 PECOS PAC ID: 9638493315 Enrollment ID: I20150129000944 |
Provider Name | Elizabeth A Kresse |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659571099 PECOS PAC ID: 5395065841 Enrollment ID: I20150522001729 |
Provider Name | Brock H Haut |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912394073 PECOS PAC ID: 8729308093 Enrollment ID: I20150528000676 |
Provider Name | Megan Martin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194273672 PECOS PAC ID: 3971884917 Enrollment ID: I20170105000313 |
Provider Name | Richard Kaminski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891197653 PECOS PAC ID: 7113208240 Enrollment ID: I20170124002299 |
Provider Name | Thomas W Henry |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578012241 PECOS PAC ID: 4082995022 Enrollment ID: I20170124002539 |
Provider Name | Leslie Fuchs |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457895575 PECOS PAC ID: 1456632587 Enrollment ID: I20170125000300 |
Provider Name | Brett Buda |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073857678 PECOS PAC ID: 5890070932 Enrollment ID: I20170331002172 |
Provider Name | Katelyn Linden |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881133528 PECOS PAC ID: 5698052330 Enrollment ID: I20170504002417 |
Provider Name | Christen B Ramaeker |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528356672 PECOS PAC ID: 4082929880 Enrollment ID: I20171004002673 |
Provider Name | Brent W Schierbeek |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467953406 PECOS PAC ID: 1254692163 Enrollment ID: I20180309000040 |
Provider Name | Dena Nichole Garnett |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548766249 PECOS PAC ID: 9537416664 Enrollment ID: I20180720001657 |
Provider Name | Jessie Rae O'leary |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376996157 PECOS PAC ID: 4880980879 Enrollment ID: I20180723002885 |
Provider Name | Erin K Osburn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568982437 PECOS PAC ID: 3375890080 Enrollment ID: I20180725003082 |
Provider Name | Diane M Rich |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184136665 PECOS PAC ID: 7618215138 Enrollment ID: I20190207002842 |
Provider Name | Fred Luster |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316480254 PECOS PAC ID: 2961744305 Enrollment ID: I20190503001619 |
Provider Name | Megen Quinn Bejvan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780237826 PECOS PAC ID: 3678801669 Enrollment ID: I20190829001164 |
Provider Name | Felpur Elumba Jabian |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427480912 PECOS PAC ID: 5395179006 Enrollment ID: I20200103001988 |
Provider Name | Robert Martin Heritz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407494131 PECOS PAC ID: 2163857855 Enrollment ID: I20200128000690 |
Provider Name | Katelyn Elizabeth Kush |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194349555 PECOS PAC ID: 0244653004 Enrollment ID: I20200713001031 |
Provider Name | Julie Ann Sunday |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831386499 PECOS PAC ID: 1355400755 Enrollment ID: I20210203001744 |
Provider Name | Amy K Shoue |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275288631 PECOS PAC ID: 1254725286 Enrollment ID: I20220308001227 |
Provider Name | Aaron William Weaver |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467185025 PECOS PAC ID: 7214311463 Enrollment ID: I20220907002089 |
Provider Name | Taylor Allison Risser |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811632821 PECOS PAC ID: 5193191195 Enrollment ID: I20221017000960 |
Provider Name | Kyleigh N Girardi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780249946 PECOS PAC ID: 9931570538 Enrollment ID: I20230118001917 |
Provider Name | Sarah K Hosinski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730801879 PECOS PAC ID: 8527430214 Enrollment ID: I20230206002092 |
Provider Name | Gianna L Pociask |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366159782 PECOS PAC ID: 7113399270 Enrollment ID: I20230217002707 |
Provider Name | Jasmine S Henry |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356019004 PECOS PAC ID: 6204291149 Enrollment ID: I20230428002110 |
Provider Name | Julie Anne Thornton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750453924 PECOS PAC ID: 1456716950 Enrollment ID: I20230507000030 |
Provider Name | Elizabeth Visser |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801139530 PECOS PAC ID: 1759734684 Enrollment ID: I20240126003933 |
Provider Name | Lauren R Prescott |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740975465 PECOS PAC ID: 7618315904 Enrollment ID: I20240405000636 |
Mailing Address | Practice Location Address |
---|---|
Beacon Physical Therapy 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Beacon Physical Therapy 3221 Beacon Parkway Ste 100, Granger, IN 46530-7196 Ph: (574) 647-2930 |
Paxxon Healthcare Services Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 6330 N Fir Rd, Granger, IN 46530 Phone: 574-274-4920 Fax: 574-274-4920 | |
Mrs. Payal Koul-kumar, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12655 State Road 23, Granger, IN 46530 Phone: 574-343-6427 | |
Beacon Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3221 Beacon Parkway, Suite B, Granger, IN 46530 Phone: 574-647-1700 Fax: 574-291-3351 | |
Brett L Buda, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-2930 Fax: 574-647-2935 | |
Mr. Randall Glenn Brooks, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-2930 Fax: 574-647-2935 | |
Emilia M Kareem, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-2930 Fax: 574-647-2935 | |
Megan Martin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-5790 Fax: 574-647-5792 |