| Brian Matthew Oconnell, PT, OCS, CERT MDT | |
|
4100 Lake Dr Se Ste B03, Grand Rapids, MI 49546-8292 | |
| (616) 267-8365 | |
| Not Available |
| Full Name | Brian Matthew Oconnell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 4100 Lake Dr Se Ste B03, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306349006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 5501013083 (Michigan) | Primary |
| Provider Name | Spectrum Health Primary Care Partners |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Matthew Oconnell, PT, OCS, CERT MDT 4100 Lake Dr Se Ste B03, Grand Rapids, MI 49546-8292 Ph: () - | Brian Matthew Oconnell, PT, OCS, CERT MDT 4100 Lake Dr Se Ste B03, Grand Rapids, MI 49546-8292 Ph: (616) 267-8365 |
Ms. Silpa Parupalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6252 Architrave St Se, Grand Rapids, MI 49546 Phone: 616-446-1374 Fax: 616-956-0059 | |
Ryan Sanders Gary, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506 Phone: 616-248-9842 Fax: 616-248-9848 | |
Samantha Michelle Flietstra, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2161 Leonard St Nw, Grand Rapids, MI 49504 Phone: 616-453-7715 | |
Jennifer Lynne Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-262-0299 | |
Katharine Lind Thompson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-6264 | |
Dr. Lindsey Danielle Conrado, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 161-639-1177 | |
Lauren Mallory, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8000 |