Ian Becker, | |
501 Forest Ln Ste A, Clemson, SC 29631-2621 | |
(864) 654-2001 | |
Not Available |
Full Name | Ian Becker |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 501 Forest Ln Ste A, Clemson, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609513340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Excel Rehabilitation And Sports Enhancement Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740358324 PECOS PAC ID: 1759481559 Enrollment ID: O20070710000010 |
Mailing Address | Practice Location Address |
---|---|
Ian Becker, 117 Perry Bend Cir Apt 307, Easley, SC 29640-7218 Ph: (864) 247-1832 | Ian Becker, 501 Forest Ln Ste A, Clemson, SC 29631-2621 Ph: (864) 654-2001 |
Colton Chase Cantley, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 379 Old Greenville Hwy Ste 101, Clemson, SC 29631 Phone: 864-624-0120 | |
Mrs. Monica Hayes Gibson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Downs Loop, Clemson, SC 29631 Phone: 864-722-9059 | |
Kristen Heather Monzo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Forest Ln Ste A, Clemson, SC 29631 Phone: 864-654-2001 Fax: 800-305-7112 | |
Mr. Jonathan Michael Alexander, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Forest Ln, Suite A, Clemson, SC 29631 Phone: 864-722-0335 Fax: 864-233-7844 | |
Jackson Killian, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Forest Ln, Clemson, SC 29631 Phone: 864-654-2001 | |
Nina Mitchum Chitty, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1019 Tiger Blvd Ste 105, Clemson, SC 29631 Phone: 864-654-0431 Fax: 864-654-0799 | |
Shannon Edwards Galloway, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Chapman Hill Rd, Clemson, SC 29631 Phone: 864-653-4071 |