Jacqueline Wiersma, PT | |
1930 E Southern Ave, Tempe, AZ 85282-7518 | |
(480) 456-0719 | |
Not Available |
Full Name | Jacqueline Wiersma |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 1930 E Southern Ave, Tempe, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154517274 | NPI | - | NPPES |
260138 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 7437 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Empowerme Rehabilitation Llc | 2769723162 | 324 |
Orthopaedic And Neurological Rehab Inc | 6507159126 | 469 |
Provider Name | Orthopaedic And Neurological Rehab Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20200902001151 |
Provider Name | Empowerme Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1144954074 PECOS PAC ID: 2769723162 Enrollment ID: O20230127000420 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Wiersma, PT 1930 E Southern Ave, Tempe, AZ 85282-7518 Ph: (480) 456-0719 | Jacqueline Wiersma, PT 1930 E Southern Ave, Tempe, AZ 85282-7518 Ph: (480) 456-0719 |
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