Bhavikkumar Shukla, | |
275 W 12th St, 4 West, Peru, IN 46970-1638 | |
(765) 475-2160 | |
Not Available |
Full Name | Bhavikkumar Shukla |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 275 W 12th St, Peru, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811309537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05010237A (Indiana) | Primary |
Provider Name | Creative Health Care Management Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139 |
Provider Name | Vital Therapy |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518691153 PECOS PAC ID: 2668854365 Enrollment ID: O20220727003075 |
Provider Name | Five Star Rehabilitation And Wellness Services Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1124773338 PECOS PAC ID: 0143323535 Enrollment ID: O20221215000856 |
Mailing Address | Practice Location Address |
---|---|
Bhavikkumar Shukla, 2547 Acorn Dr, Kokomo, IN 46902-7522 Ph: (404) 932-2878 | Bhavikkumar Shukla, 275 W 12th St, 4 West, Peru, IN 46970-1638 Ph: (765) 475-2160 |
Tanya Fondekar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 W 12th St, 4 West, Peru, IN 46970 Phone: 765-475-2160 Fax: 765-475-2164 | |
David Allen Franklin, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5 Broadway Plz, Peru, IN 46970 Phone: 765-327-2111 Fax: 765-327-2319 | |
Ivyrehab Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5 Broadway Plz, Peru, IN 46970 Phone: 631-580-5200 Fax: 631-580-5222 | |
Renewal Rehab Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Kitty Hawk, Peru, IN 46970 Phone: 765-689-7305 | |
Cleotilde Sorgenfrei, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1013 Veachs Ct, Peru, IN 46970 Phone: 765-475-2160 |