Hetal A Shah, LPT | |
5220 S 6th Street Rd, Suite 1500, Springfield, IL 62703-5735 | |
(217) 529-8469 | |
(217) 529-5580 |
Full Name | Hetal A Shah |
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Gender | Female |
Speciality | Physical Therapist |
Location | 5220 S 6th Street Rd, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336168269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Illinois) | Primary |
Provider Name | Outpatient At Home Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1629671003 PECOS PAC ID: 6204248784 Enrollment ID: O20201208001710 |
Mailing Address | Practice Location Address |
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Hetal A Shah, LPT 5220 S 6th Street Rd, Suite 1500, Springfield, IL 62703-5735 Ph: (217) 529-8469 | Hetal A Shah, LPT 5220 S 6th Street Rd, Suite 1500, Springfield, IL 62703-5735 Ph: (217) 529-8469 |
Barbara Lynn Notz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3400 W Washington St, Springfield, IL 62711 Phone: 217-241-2992 | |
Sheila M. Nicholson, P.T., M.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1700 W Washington St, Springfield, IL 62702 Phone: 217-619-0667 | |
Molly L Farrell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 355 W Carpenter St, Springfield, IL 62702 Phone: 217-528-7541 | |
Mr. Duane Ray Meyer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 S Koke Mill Rd, Springfield, IL 62711 Phone: 217-547-9100 Fax: 217-787-5595 | |
Christi A. Sabatka, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3020 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 Fax: 217-789-2569 | |
Stephanie Domagalski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3631 S 6th St, Springfield, IL 62703 Phone: 217-535-3685 Fax: 217-529-0988 | |
Dr. Arlen Nathaniel Magelitz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2201 W White Oaks Dr, Springfield, IL 62704 Phone: 217-546-3301 |