Fitness Designs Physical Therapy And Sports Rehab Llc | |
16 Ginger Creek Pkwy, Glen Carbon, IL 62034-3502 | |
(618) 656-1122 | |
(618) 656-1171 |
Full Name | Fitness Designs Physical Therapy And Sports Rehab Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 16 Ginger Creek Pkwy, Glen Carbon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144504754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 070006305 (Illinois) | Primary |
Provider Name | Deanne L Perry |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275634446 PECOS PAC ID: 3971554064 Enrollment ID: I20050207000276 |
Provider Name | Christopher B Pifer |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407861065 PECOS PAC ID: 1355367012 Enrollment ID: I20101119001198 |
Mailing Address | Practice Location Address |
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Fitness Designs Physical Therapy And Sports Rehab Llc 16 Ginger Creek Pkwy, Glen Carbon, IL 62034-3502 Ph: (618) 656-1122 | Fitness Designs Physical Therapy And Sports Rehab Llc 16 Ginger Creek Pkwy, Glen Carbon, IL 62034-3502 Ph: (618) 656-1122 |
Divya Merchant, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4955 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4677 | |
Jesse Moore, DPT, MBA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3008 Huntsville Dr, Glen Carbon, IL 62034 Phone: 317-691-6262 | |
Michelle Vermaux, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 | |
Ashley Lack, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Junction Dr W Ste 4, Glen Carbon, IL 62034 Phone: 618-288-8020 | |
Mrs. Kelli D Evans, MSRPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16 Ginger Creek Pkwy, Glen Carbon, IL 62034 Phone: 618-656-1122 Fax: 618-656-1171 | |
Mrs. Deanne Louise Perry, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Ginger Creek Pkwy, Glen Carbon, IL 62034 Phone: 618-656-1122 Fax: 618-656-1171 |