| Elevate Therapy & Performance Pc | |
|
214 W Freeman St, Carbondale, IL 62901-2809 | |
| (812) 491-1307 | |
| (618) 549-0226 |
| Full Name | Elevate Therapy & Performance Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 214 W Freeman St, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871133876 | NPI | - | NPPES |
| 070024815 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Cody Doerflein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114410206 PECOS PAC ID: 6901155654 Enrollment ID: I20200402000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Therapy & Performance Pc Po Box 3276, Evansville, IN 47731-3276 Ph: (812) 473-0181 | Elevate Therapy & Performance Pc 214 W Freeman St, Carbondale, IL 62901-2809 Ph: (812) 491-1307 |
Dr. Steve Middleton, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 S Glenview Dr, Carbondale, IL 62901 Phone: 618-559-8196 | |
Cody B Doerflein, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 214 W Freeman St, Carbondale, IL 62901 Phone: 812-491-1307 Fax: 618-549-0226 | |
Kristy Travis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1237 E Main St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Marcel De Wit, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 E Walnut St Ste 1, Carbondale, IL 62901 Phone: 618-319-7540 | |
Mrs. Lorraine M Scimeca, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 W Jackson St, Suite Ll02, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0403 | |
Ms. Michelle Alonzo Discaya, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 West Jackson St., Memorial Hospital Of Carbondale, Carbondale, IL 62901 Phone: 618-529-0516 Fax: 618-529-0403 | |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 E Walnut St, Ste 1, Carbondale, IL 62901 Phone: 618-319-7540 Fax: 618-319-7542 |