Dr Kyle T Fennemore, DPT, CSCS | |
100 Becks Woods Dr, Suite 101, Bear, DE 19701-3835 | |
(302) 392-3400 | |
Not Available |
Full Name | Dr Kyle T Fennemore |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 17 Years |
Location | 100 Becks Woods Dr, Bear, Delaware |
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 |
---|---|---|---|
1437334547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | JT0000684 (Delaware) | Secondary |
225100000X | Physical Therapist | J1-0002306 (Delaware) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ati Holdings Llc | 9537112719 | 366 |
Provider Name | Ati Holdings Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061101000380 |
Mailing Address | Practice Location Address |
---|---|
Dr Kyle T Fennemore, DPT, CSCS 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Dr Kyle T Fennemore, DPT, CSCS 100 Becks Woods Dr, Suite 101, Bear, DE 19701-3835 Ph: (302) 392-3400 |
Meredith Tenerow Walker, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1015 E Songsmith Dr, Bear, DE 19701 Phone: 302-836-5670 | |
Janki Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1859 Pulaski Hwy, Bear, DE 19701 Phone: 302-888-9321 | |
Melissa Hemphill, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1015 E Songsmith Dr, Bear, DE 19701 Phone: 302-836-5670 Fax: 302-836-5226 | |
Dr. Eduardo Diaz, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1651 Pulaski Hwy, Bear, DE 19701 Phone: 302-834-1550 | |
Mr. Christopher Aaron Goetz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1651-53 Pulaski Highway, Bear, DE 19701 Phone: 302-834-1550 Fax: 302-834-1549 | |
Sarah Catherine Flynn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 925 Bear Corbitt Rd, Bear, DE 19701 Phone: 302-454-2400 | |
Mr. Pedro Luiz Camargo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Becks Woods Dr, Bear, DE 19701 Phone: 302-392-3400 |