Edwin J Northam, | |
1563 N State St, Greenfield, IN 46140-1066 | |
(317) 467-5700 | |
Not Available |
Full Name | Edwin J Northam |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1563 N State St, Greenfield, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831964089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20110309000231 |
Mailing Address | Practice Location Address |
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Edwin J Northam, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Edwin J Northam, 1563 N State St, Greenfield, IN 46140-1066 Ph: (317) 467-5700 |
Gary Mohler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 628 N Meridian Rd, Greenfield, IN 46140 Phone: 317-462-7067 | |
Erin L Cutshaw, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1563 N State St, Greenfield, IN 46140 Phone: 317-467-5700 | |
Corinne Roberts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1683 Community Way, Greenfield, IN 46140 Phone: 463-290-8001 Fax: 317-708-6496 | |
Kathryn E Goncalves, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 888 W New Rd, Greenfield, IN 46140 Phone: 317-468-6112 | |
Danielle Laraine Farmer, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 N State St, Greenfield, IN 46140 Phone: 317-468-4472 Fax: 317-468-4447 | |
Mrs. Abigail L. Edwards, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1563 N State St, Greenfield, IN 46140 Phone: 317-467-5700 Fax: 317-467-5701 | |
Stephanie Mohler, Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 N State St, Greenfield, IN 46140 Phone: 317-468-4472 |