Ellen J Rull, | |
2911 Eagle Pointe Rd, Godfrey, IL 62035-4702 | |
(618) 466-9110 | |
Not Available |
Full Name | Ellen J Rull |
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Gender | Female |
Speciality | Physical Therapist |
Location | 2911 Eagle Pointe Rd, Godfrey, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881187144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20150213001140 |
Mailing Address | Practice Location Address |
---|---|
Ellen J Rull, 2911 Eagle Pointe Rd, Godfrey, IL 62035-4702 Ph: (618) 466-9110 | Ellen J Rull, 2911 Eagle Pointe Rd, Godfrey, IL 62035-4702 Ph: (618) 466-9110 |
Mrs. Jennifer Lynn Weis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Airport Rd, Godfrey, IL 62035 Phone: 618-466-8221 | |
Nathan Scandrett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4813 Dadrian Dr, Godfrey, IL 62035 Phone: 618-467-7071 | |
Miss Laila Breana Jason, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1000 Airport Rd, Godfrey, IL 62035 Phone: 618-466-8831 | |
Steven Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Airport Rd, Godfrey, IL 62035 Phone: 618-466-8831 | |
Brianna Elizabeth Gaughan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Airport Rd, Godfrey, IL 62035 Phone: 618-407-6765 | |
Mrs. Karen Janine Hatch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4610 Levis Ln, Godfrey, IL 62035 Phone: 618-208-7213 | |
Jaime N Haar, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5701 Godfrey Rd, Godfrey, IL 62035 Phone: 618-433-9919 Fax: 618-433-1455 |