Ian Larabel, DPT | |
3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418-3140 | |
(616) 818-0018 | |
(616) 278-1451 |
Full Name | Ian Larabel |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3819 Rivertown Pkwy Sw Ste 100, Grandville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013636703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501301921 (Michigan) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20191218001701 |
Mailing Address | Practice Location Address |
---|---|
Ian Larabel, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6250 | Ian Larabel, DPT 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418-3140 Ph: (616) 818-0018 |
West Michigan Rehabilitation Center, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3181 Prairie St Sw, Suite 102, Grandville, MI 49418 Phone: 616-249-3545 Fax: 616-249-3549 | |
Lisa J Vis, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5570 Wilson Ave Sw, Suite A, Grandville, MI 49418 Phone: 616-594-2000 Fax: 616-594-2004 | |
Stacie Rayman, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3380 44th St Sw, Grandville, MI 49418 Phone: 616-233-3591 Fax: 616-534-0807 | |
Laura Ann-ennis Conran, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5570 Wilson Ave Sw, Suite A, Grandville, MI 49418 Phone: 616-855-1495 Fax: 616-531-5027 | |
Ronald Kronemeyer P.t Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4120 Chicago Dr Sw, Suite #7, Grandville, MI 49418 Phone: 616-534-0366 Fax: 616-534-0540 | |
Mr. Kirk Christopher Randall, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3753 Basswood Dr Sw, Grandville, MI 49418 Phone: 616-340-6407 Fax: 616-301-2882 |