| Broad River Rehab | |
|
9120 Willow Ridge Rd, Charlotte, NC 28210-8313 | |
| (704) 275-5336 | |
| Not Available |
| Full Name | Broad River Rehab |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 9120 Willow Ridge Rd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902317589 | NPI | - | NPPES |
| 1902317589 | Medicaid | NC |
| Provider Name | Marcial Nelson Fidis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659582906 PECOS PAC ID: 3072576776 Enrollment ID: I20080805000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Broad River Rehab 1 Pond St, Arden, NC 28704-8500 Ph: (828) 774-5222 | Broad River Rehab 9120 Willow Ridge Rd, Charlotte, NC 28210-8313 Ph: (704) 275-5336 |
Brenda Kennell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5100 Sharon Rd, Charlotte, NC 28210 Phone: 704-554-4818 Fax: 704-551-0659 | |
Meghan Suntich, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10648 Park Rd, Charlotte, NC 28210 Phone: 704-667-8200 | |
Carissa Faye Crawford, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 Almora Dr, Charlotte, NC 28216 Phone: 704-910-7843 | |
Elisabeth Neely Theodossiou, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-4370 | |
Megan Marie Barber, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13600 S Tryon St, Charlotte, NC 28278 Phone: 704-705-2727 | |
Ms. Sarah Mary Evanko, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4012 Park Rd Ste 200, Charlotte, NC 28209 Phone: 704-541-9080 | |
Madison Taylor O'hara, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7926 Turquoise Dr, Charlotte, NC 28215 Phone: 704-816-9982 |