| Fairfield Universal Therapy | |
|
1401 S Main St Ste 104, Fairfield, IA 52556-3771 | |
| (641) 209-1446 | |
| Not Available |
| Full Name | Fairfield Universal Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1401 S Main St Ste 104, Fairfield, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811451016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Dana Conilogue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124353875 PECOS PAC ID: 2860667383 Enrollment ID: I20111213000082 |
| Provider Name | Adam Conilogue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932435153 PECOS PAC ID: 9739354259 Enrollment ID: I20111213000121 |
| Provider Name | Mason J Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316514094 PECOS PAC ID: 3173923950 Enrollment ID: I20210616000635 |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Universal Therapy 1401 S Main St Ste 104, Fairfield, IA 52556-3771 Ph: (641) 209-1446 | Fairfield Universal Therapy 1401 S Main St Ste 104, Fairfield, IA 52556-3771 Ph: (641) 209-1446 |
Megan Thompson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 806 E Fillmore Ave, Fairfield, IA 52556 Phone: 641-919-2427 | |
Dr. Bryndee Leigh Boheman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 S Main St, Fairfield, IA 52556 Phone: 641-472-4111 | |
Jacob Wilson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 S Main St, Fairfield, IA 52556 Phone: 641-472-4111 | |
Mason James Ellis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1401 S Main St Ste 104, Fairfield, IA 52556 Phone: 641-209-1446 | |
Brian Peterson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 907 E Briggs Ave, Fairfield, IA 52556 Phone: 641-469-4353 Fax: 641-469-4288 | |
Rehabvisions Physical Therapist Medicare: Medicare Enrolled Practice Location: 402 W Burlington Ave Ste 200, Fairfield, IA 52556 Phone: 641-469-3130 Fax: 641-243-4884 | |
Donna Jean Williams, PT, CWS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 South Main Street, Fairfield, IA 52556 Phone: 641-472-4111 |