Dr Jefferson Wayne Holm, DPT, PT, CBIS | |
3961 E Guadalupe Rd Ste 1, Gilbert, AZ 85234-3266 | |
(480) 699-4845 | |
(480) 699-5085 |
Full Name | Dr Jefferson Wayne Holm |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 3961 E Guadalupe Rd Ste 1, Gilbert, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740622109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251N0400X | Physical Therapist - Neurology | 39016 (California) | Secondary |
2251N0400X | Physical Therapist - Neurology | 9343 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Neurologic Rehabilitation | 5395055859 | 19 |
Provider Name | Advanced Neurologic Rehabilitation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922482017 PECOS PAC ID: 5395055859 Enrollment ID: O20151112001859 |
Mailing Address | Practice Location Address |
---|---|
Dr Jefferson Wayne Holm, DPT, PT, CBIS 3160 N Arizona Ave Ste 106, Chandler, AZ 85225-7122 Ph: (480) 244-7011 | Dr Jefferson Wayne Holm, DPT, PT, CBIS 3961 E Guadalupe Rd Ste 1, Gilbert, AZ 85234-3266 Ph: (480) 699-4845 |
Manar Kazar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13839 E Morgan Dr, Gilbert, AZ 85295 Phone: 480-899-0612 | |
Anastasia Schmaltz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3336 E Chandler Heights Rd, Suite 126, Gilbert, AZ 85298 Phone: 480-940-6125 Fax: 480-840-6122 | |
Andrew Ballard, Physical Therapist Medicare: Medicare Enrolled Practice Location: 413 E Tremaine Ave, Gilbert, AZ 85234 Phone: 602-550-4730 | |
John Anthony Volk, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 S Gilbert Rd, Gilbert, AZ 85296 Phone: 480-558-5131 | |
Melissa Charlotte Marviglia, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3341 E Queen Creek Rd, Suite 109, Gilbert, AZ 85297 Phone: 480-621-8361 Fax: 480-621-8513 | |
Nathan A West, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3921 E Baseline Rd, Ste 105, Gilbert, AZ 85234 Phone: 480-503-2373 Fax: 480-503-2375 | |
Mr. Brian D Long, PT/ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr Ste 200-250, Gilbert, AZ 85234 Phone: 480-964-2908 Fax: 480-833-2136 |