Benjamin Mardis, DPT | |
1775 Se Hawthorne Ridge Dr, Waukee, IA 50263-8005 | |
(515) 240-2610 | |
Not Available |
Full Name | Benjamin Mardis |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1775 Se Hawthorne Ridge Dr, Waukee, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760142426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 111531 (Iowa) | Primary |
Provider Name | Physiotherapy Associates Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679632038 PECOS PAC ID: 3577470442 Enrollment ID: O20070117000287 |
Mailing Address | Practice Location Address |
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Benjamin Mardis, DPT 1775 Se Hawthorne Ridge Dr, Waukee, IA 50263-8005 Ph: (515) 240-2610 | Benjamin Mardis, DPT 1775 Se Hawthorne Ridge Dr, Waukee, IA 50263-8005 Ph: (515) 240-2610 |
Mrs. Rebecca Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Hickman Rd, Waukee, IA 50263 Phone: 515-987-6267 | |
Thomas Larsson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 205 Ne Dartmoor Dr, Waukee, IA 50263 Phone: 515-987-6267 | |
Laura Renee Walter, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 452 Se University Ave, Waukee, IA 50263 Phone: 515-987-0465 Fax: 515-987-0929 | |
Dr. Kelsey Marie Ziemann, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Hickman Rd, Waukee, IA 50263 Phone: 515-987-6267 | |
Kristie A Smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 E Hickman Rd, Waukee, IA 50263 Phone: 515-216-2999 Fax: 515-216-2990 | |
Kyle Dalen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Hickman Rd, Waukee, IA 50263 Phone: 515-987-6267 | |
Laura Imming Hanson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 452 Se University Ave, Waukee, IA 50263 Phone: 515-987-0465 |