Dipti Bhale, | |
465 W Leather Ave Apt 5, Tomahawk, WI 54487-2270 | |
(405) 714-0919 | |
Not Available |
Full Name | Dipti Bhale |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 465 W Leather Ave Apt 5, Tomahawk, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457744930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12236-24 (Wisconsin) | Primary |
Provider Name | Ivyrehab Physical Therapy Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1376917187 PECOS PAC ID: 7012997638 Enrollment ID: O20160304000277 |
Mailing Address | Practice Location Address |
---|---|
Dipti Bhale, 38 S Main St, Apt A, Sugar Grove, IL 60554-5031 Ph: (630) 466-5866 | Dipti Bhale, 465 W Leather Ave Apt 5, Tomahawk, WI 54487-2270 Ph: (405) 714-0919 |
Mrs. Jayne Lynn Fox, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Kaphaem Rd, Tomahawk, WI 54487 Phone: 715-453-2141 Fax: 715-459-7519 | |
Hannah Marie Donahue, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 W Mohawk Dr, Tomahawk, WI 54487 Phone: 715-453-7740 | |
Mrs. Ruthanne Lydia Rosser, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 W Mohawk Dr, Tomahawk, WI 54487 Phone: 715-453-7600 | |
Adam Zamane, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1509 N 4th St, Tomahawk, WI 54487 Phone: 715-365-5252 | |
Keaton Lee Mccoy, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 428 N 6th St, Tomahawk, WI 54487 Phone: 877-230-3885 | |
Lori L. Mott, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 202 W Mohawk Dr, Tomahawk, WI 54487 Phone: 715-453-7600 Fax: 715-453-6403 |