Dr Brent Howard Corum, DPT | |
540 E Jefferson St Ste 302, Iowa City, IA 52245-2460 | |
(319) 339-3611 | |
(319) 339-3878 |
Full Name | Dr Brent Howard Corum |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 540 E Jefferson St Ste 302, Iowa City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265970768 | NPI | - | NPPES |
06-65463 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 083668 (Iowa) | Primary |
Provider Name | Physiotherapy Associates Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679632038 PECOS PAC ID: 3577470442 Enrollment ID: O20070117000287 |
Mailing Address | Practice Location Address |
---|---|
Dr Brent Howard Corum, DPT 2401 Towncrest Dr, Iowa City, IA 52240-6631 Ph: (319) 354-2429 | Dr Brent Howard Corum, DPT 540 E Jefferson St Ste 302, Iowa City, IA 52245-2460 Ph: (319) 339-3611 |
Shelley Renee Hautekeete Mockler, PT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Hawkins Dr, Center For Disabilities And Development, Iowa City, IA 52242 Phone: 319-356-1179 | |
Andrew James Phillips, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-330-9025 | |
Kim Eppen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2663 | |
Steven Donald Clark, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2220 Mormon Trek Blvd, Iowa City, IA 52246 Phone: 319-366-1886 Fax: 319-366-1611 | |
Wanda Evans, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 Towncrest Dr, Iowa City, IA 52240 Phone: 319-354-2429 Fax: 319-354-6100 | |
Ms. Shannon Louise Miers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 Phone: 319-384-7070 Fax: 319-467-8247 | |
Mr. David K Carmody, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Hwy 6 West, Iowa City, IA 52246 Phone: 319-339-7127 Fax: 319-887-4955 |