Ethan Daniel Hancock, | |
590 Pit Rd, Brownsburg, IN 46112-7830 | |
(317) 456-1056 | |
Not Available |
Full Name | Ethan Daniel Hancock |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 590 Pit Rd, Brownsburg, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609345487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | 05014434A (Indiana) | Primary |
Provider Name | Thomas A Brady Sports Medicine Ctr |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467484212 PECOS PAC ID: 5991609281 Enrollment ID: O20031119000777 |
Provider Name | Indiana Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316627722 PECOS PAC ID: 8527421346 Enrollment ID: O20230828001208 |
Mailing Address | Practice Location Address |
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Ethan Daniel Hancock, 590 Pit Rd, Brownsburg, IN 46112-7830 Ph: () - | Ethan Daniel Hancock, 590 Pit Rd, Brownsburg, IN 46112-7830 Ph: (317) 456-1056 |
Samantha Ausmus, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1353 E Main St, Brownsburg, IN 46112 Phone: 317-520-4748 | |
Sandra Jane Staley, MS, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5492 N Ronald Reagan Pkwy Ste 180, Brownsburg, IN 46112 Phone: 317-858-9400 | |
Courtney K Summitt, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 590 Pit Rd, Brownsburg, IN 46112 Phone: 317-456-1056 | |
Alexandria Brooke Steward, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 590 Pit Rd, Brownsburg, IN 46112 Phone: 317-415-6040 | |
Tana Gehring, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7249 Arbuckle Cmns Ste A, Brownsburg, IN 46112 Phone: 317-251-0500 Fax: 317-999-9650 | |
Megan Nicole Siergiej, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1353 E Main St, Brownsburg, IN 46112 Phone: 317-294-5242 | |
Kassidy Atwood, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5492 N Ronald Reagan Pkwy Ste 180, Brownsburg, IN 46112 Phone: 317-858-9400 |