Innovative Physical Therapy Llc | |
502 E 1100 N, Chesterton, IN 46304-9697 | |
(219) 926-5850 | |
(219) 250-2072 |
Full Name | Innovative Physical Therapy Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 502 E 1100 N, Chesterton, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578937447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05010042A (Indiana) | Primary |
Provider Name | James H Dimailig |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609949304 PECOS PAC ID: 7810092921 Enrollment ID: I20070418000540 |
Provider Name | Renata Edyta Plata-pniak |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629005533 PECOS PAC ID: 3476652306 Enrollment ID: I20070619000125 |
Provider Name | Michael Topor |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982622239 PECOS PAC ID: 5597842682 Enrollment ID: I20080415000065 |
Provider Name | Keith A Ellis |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972823367 PECOS PAC ID: 1658404793 Enrollment ID: I20100727000271 |
Provider Name | Elizabeth R Cernetig |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598262388 PECOS PAC ID: 2264780261 Enrollment ID: I20180808001053 |
Provider Name | Jennifer Nicole Racette |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114035045 PECOS PAC ID: 3971510652 Enrollment ID: I20190211002786 |
Provider Name | Lisa C Corsica |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497873152 PECOS PAC ID: 6204175342 Enrollment ID: I20190306003658 |
Provider Name | Stacy A Fredrickson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285077941 PECOS PAC ID: 7113351826 Enrollment ID: I20200103001934 |
Provider Name | Scott Charles Sonderman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750625737 PECOS PAC ID: 7810110087 Enrollment ID: I20200917002579 |
Provider Name | Renee Christine Bowen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619222338 PECOS PAC ID: 5698922268 Enrollment ID: I20210804003128 |
Provider Name | Nathan Daniel Mccormack |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760144810 PECOS PAC ID: 3870981988 Enrollment ID: I20211022000166 |
Provider Name | Heather Mccurdy |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1235850710 PECOS PAC ID: 0648655050 Enrollment ID: I20220921003425 |
Provider Name | J'aime Elizabeth Kaufman |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1093929028 PECOS PAC ID: 3173909801 Enrollment ID: I20221004003045 |
Provider Name | Kimberlyn Renea Thomas |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154042869 PECOS PAC ID: 2769858349 Enrollment ID: I20221024000310 |
Mailing Address | Practice Location Address |
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Innovative Physical Therapy Llc 502 E 1100 N, Chesterton, IN 46304-9697 Ph: (219) 926-5850 | Innovative Physical Therapy Llc 502 E 1100 N, Chesterton, IN 46304-9697 Ph: (219) 926-5850 |
Mrs. Victoria Jean Vinet, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Sand Creek Dr Ste C, Chesterton, IN 46304 Phone: 219-926-9779 Fax: 219-926-9889 | |
Matthew David Radencic, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1595 S Calumet Rd, Chesterton, IN 46304 Phone: 844-896-0235 Fax: 219-898-4258 | |
Samantha Higgins, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-926-6926 | |
Lauren Evenson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd Ste 3, Chesterton, IN 46304 Phone: 219-983-9675 | |
Jennifer Nicole Racette, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 751 E Porter Ave Ste 2, Chesterton, IN 46304 Phone: 219-926-5850 Fax: 219-250-2072 | |
Amber N Eckert, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd, Chesterton, IN 46304 Phone: 219-983-9675 | |
Laura Wassilak, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd, Suite 3, Chesterton, IN 46304 Phone: 219-983-9675 Fax: 219-983-9681 |