Jacob Mcfadden, DPT | |
1513 N Mcewan St, Clare, MI 48617-1162 | |
(989) 424-6088 | |
Not Available |
Full Name | Jacob Mcfadden |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1513 N Mcewan St, Clare, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588347108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501302838 (Michigan) | Primary |
Provider Name | Sport Summit Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861047847 PECOS PAC ID: 3577995737 Enrollment ID: O20191111000335 |
Mailing Address | Practice Location Address |
---|---|
Jacob Mcfadden, DPT 1210 Percha St, Clare, MI 48617-9006 Ph: (989) 330-1008 | Jacob Mcfadden, DPT 1513 N Mcewan St, Clare, MI 48617-1162 Ph: (989) 424-6088 |
Jordan Mcconnell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1513 N Mcewan St # Na, Clare, MI 48617 Phone: 989-424-6088 | |
Frances Wenzel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 602 Beech St, Clare, MI 48617 Phone: 989-802-5167 | |
Theresa Walter, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Schoolcrest Ave, Clare, MI 48617 Phone: 989-386-9170 Fax: 989-386-9220 | |
Evergreen Physical Therapy Limited Partnership Physical Therapist Medicare: Medicare Enrolled Practice Location: 107 Schoolcrest Ave, Clare, MI 48617 Phone: 989-386-9170 Fax: 989-386-9220 | |
Mr. Mark L. Beardsley, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 Beech St, Clare, MI 48617 Phone: 989-802-5167 Fax: 989-802-5143 | |
Patrick L Howe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Schoolcrest, Clare, MI 48617 Phone: 989-386-9170 Fax: 989-386-9220 | |
Mrs. Karen Elizabeth-horwood Grossnickle, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 Beech St, Clare, MI 48617 Phone: 989-802-5167 Fax: 989-802-5143 |