Brian Lewis Wike I, PT, DPT, CSCS | |
1868 W 9800 S Ste 200, South Jordan, UT 84095-4713 | |
(801) 676-2210 | |
Not Available |
Full Name | Brian Lewis Wike I |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 1868 W 9800 S Ste 200, South Jordan, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336652957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 9772893-2401 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bhsm Rehabilitation Llc | 2062773138 | 1355 |
Provider Name | Bhsm Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497271431 PECOS PAC ID: 2062773138 Enrollment ID: O20180306002185 |
Mailing Address | Practice Location Address |
---|---|
Brian Lewis Wike I, PT, DPT, CSCS 2293 E Fisher Ln, Salt Lake City, UT 84109-1922 Ph: (702) 449-7461 | Brian Lewis Wike I, PT, DPT, CSCS 1868 W 9800 S Ste 200, South Jordan, UT 84095-4713 Ph: (801) 676-2210 |
Clayton Daniel Powers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84009 Phone: 801-213-4500 | |
Todd Harold Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3785 W 10400 S Ste 104, South Jordan, UT 84095 Phone: 801-673-4430 | |
Elizabeth Junk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-5275 Fax: 801-213-5077 | |
Jared Moser, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 | |
Matthew Carter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10376 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-619-3670 | |
Matthew Jerry Hobbs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 Fax: 801-676-2212 | |
Christine Ulses, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1098 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095 Phone: 801-254-5800 Fax: 801-254-1696 |