Caroline Averette, | |
1407 S Lake Park Ave Unit A, Hobart, IN 46342-6635 | |
(219) 947-3637 | |
Not Available |
Full Name | Caroline Averette |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1407 S Lake Park Ave Unit A, Hobart, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205690914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05015579A (Indiana) | Primary |
225100000X | Physical Therapist | 2305216254 (Virginia) | Secondary |
Provider Name | Tidewater Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
Mailing Address | Practice Location Address |
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Caroline Averette, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Caroline Averette, 1407 S Lake Park Ave Unit A, Hobart, IN 46342-6635 Ph: (219) 947-3637 |
Integrated Therapy Practice Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1265 S Lake Park Ave, Hobart, IN 46342 Phone: 866-945-1538 | |
Mary Margaret Felty, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7845 Grand Blvd, Hobart, IN 46342 Phone: 219-945-0470 Fax: 219-947-3761 | |
Mr. Erwin Tolentino Escobar, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7479 Bracken Pkwy, Hobart, IN 46342 Phone: 219-940-3049 | |
Mrs. Marie Jean Mercado Hedges, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 4530 16th St., Hobart, IN 46342 Phone: 219-947-8152 Fax: 219-942-7641 | |
Edgardo Laher Eliscupides, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7495 Kestrel St, Hobart, IN 46342 Phone: 219-947-1786 | |
Dr. Lilian Mapeza Lowe, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 252 Polly Ln, Hobart, IN 46342 Phone: 219-670-7411 |