Dr Michael Beavin, PT, DPT | |
1201 Hawthorn Rd, Salem, IL 62881-1028 | |
(618) 322-9896 | |
Not Available |
Full Name | Dr Michael Beavin |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1201 Hawthorn Rd, Salem, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316393713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070021586 (Illinois) | Primary |
Provider Name | Onr National Speech Pathology Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972965952 PECOS PAC ID: 2668463522 Enrollment ID: O20160831002993 |
Provider Name | Empowerme Rehabilitation Illinois Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
Provider Name | Empowerme Wellness Kansas City Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
Mailing Address | Practice Location Address |
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Dr Michael Beavin, PT, DPT 902 N Illinois Ave, Salem, IL 62881-1139 Ph: () - | Dr Michael Beavin, PT, DPT 1201 Hawthorn Rd, Salem, IL 62881-1028 Ph: (618) 322-9896 |
Samuel Dalagan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Dogwood Ln, Salem, IL 62881 Phone: 618-548-8695 | |
Christopher Evan Meier, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-548-3194 | |
Mrs. Emily Headley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-548-3194 Fax: 618-548-4902 | |
Amethyst Deneal, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-548-3194 | |
Jan Michael Pastrana Aguiling, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-548-3194 | |
Mr. Piodel Balgos Susmena, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 Briarwood Dr, Salem, IL 62881 Phone: 618-548-8633 Fax: 618-548-8633 |