Jason Travis Hiatt, MPT | |
1952 Aberdeen Ct, Sycamore, IL 60178-3175 | |
(815) 758-0000 | |
(815) 748-3014 |
Full Name | Jason Travis Hiatt |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 1952 Aberdeen Ct, Sycamore, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053418087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070015322 (Illinois) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | 070-015322 (Illinois) | Primary |
Provider Name | Midwest Orthopaedic Institute Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013976927 PECOS PAC ID: 8729077607 Enrollment ID: O20040506001457 |
Mailing Address | Practice Location Address |
---|---|
Jason Travis Hiatt, MPT 1952 Aberdeen Ct, Sycamore, IL 60178-3175 Ph: (815) 758-0000 | Jason Travis Hiatt, MPT 1952 Aberdeen Ct, Sycamore, IL 60178-3175 Ph: (815) 758-0000 |
Mr. Michael Dean Reser, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-748-8900 Fax: 815-758-0717 | |
Adrian Espinosa, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1287 Jim Dr, Sycamore, IL 60178 Phone: 815-710-6400 | |
Elzbieta Stolarski, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-748-7800 Fax: 815-758-0717 | |
Millicent Derro, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1513 Dekalb Ave, Sycamore, IL 60178 Phone: 815-766-3967 | |
Cynthia Ann Tucker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-748-8900 Fax: 815-758-0717 | |
Matthew Eickman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-748-3014 |