Breanna Mahoney, | |
500 Carlson Pkwy, Minnetonka, MN 55305-5304 | |
(877) 407-3422 | |
(877) 407-4329 |
Full Name | Breanna Mahoney |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 500 Carlson Pkwy, Minnetonka, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134998164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13261 (Minnesota) | Primary |
Provider Name | Fox Rehabilitation Services Mn Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1356802862 PECOS PAC ID: 0941542591 Enrollment ID: O20190430002455 |
Mailing Address | Practice Location Address |
---|---|
Breanna Mahoney, 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 Ph: (877) 407-3422 | Breanna Mahoney, 500 Carlson Pkwy, Minnetonka, MN 55305-5304 Ph: (877) 407-3422 |
Douglas Edward Merz, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 15000 Minnetonka Blvd, Minnetonka, MN 55345 Phone: 952-935-4037 | |
Lisa Nelezen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2713 Autumnwood Ln, Minnetonka, MN 55305 Phone: 952-593-1592 | |
Tanya Kohnen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305 Phone: 952-993-4500 | |
Katherine H Shearer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, St David's Center, Minnetonka, MN 55305 Phone: 952-939-0396 Fax: 952-548-8760 | |
Kristin L Brastad, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5959 Baker Rd Ste 340, Minnetonka, MN 55345 Phone: 651-348-7428 Fax: 651-348-7432 | |
Ann Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3836 Oak Rd, Minnetonka, MN 55345 Phone: 952-931-9033 | |
Ms. Nancy Lou Appel, PT MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10721 Smetana Rd, Suite L20, Minnetonka, MN 55343 Phone: 952-936-9215 Fax: 952-936-9942 |