Jacob Frederick Phillips, DPT | |
1451 Se 3rd St Ste 500, Grimes, IA 50111-4849 | |
(515) 986-5190 | |
(515) 986-5194 |
Full Name | Jacob Frederick Phillips |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 1451 Se 3rd St Ste 500, Grimes, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336435619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 004804 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20150820012358 |
Mailing Address | Practice Location Address |
---|---|
Jacob Frederick Phillips, DPT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6200 | Jacob Frederick Phillips, DPT 1451 Se 3rd St Ste 500, Grimes, IA 50111-4849 Ph: (515) 986-5190 |
Kody Lueders, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 241 Se Destination Dr # 200, Grimes, IA 50111 Phone: 515-986-5190 Fax: 515-986-5194 | |
Matthew Goes, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 241 Se Destination Dr, Grimes, IA 50111 Phone: 515-986-5190 Fax: 515-986-5194 | |
Jacob Lincoln Stearns, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1220 Ne Station Xing Ste 105, Grimes, IA 50111 Phone: 515-984-0075 | |
Caleb R Gilbertson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 241 Se Destination Dr Ste 200, Grimes, IA 50111 Phone: 515-986-5190 Fax: 515-986-5194 | |
Paul L Ouverson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 W 1st St, Suite H, Grimes, IA 50111 Phone: 515-986-9667 Fax: 515-986-9642 | |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 241 Se Destination Dr Ste 200, Grimes, IA 50111 Phone: 515-986-5190 Fax: 515-986-5194 |