| Jennifer Mauch, PT | |
|
11909 Fairway Circle South Dr, Indianapolis, IN 46236-9790 | |
| (317) 823-2787 | |
| Not Available |
| Full Name | Jennifer Mauch |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Geriatrics |
| Location | 11909 Fairway Circle South Dr, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134258932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251G0304X | Physical Therapist - Geriatrics | 05002692A (Indiana) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518069913 PECOS PAC ID: 2163339722 Enrollment ID: O20221005000888 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Mauch, PT 11909 Fairway Circle South Dr, Indianapolis, IN 46236-9790 Ph: (317) 823-2787 | Jennifer Mauch, PT 11909 Fairway Circle South Dr, Indianapolis, IN 46236-9790 Ph: (317) 823-2787 |
Kristene Marie Corbin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5936 N Keystone Ave, Indianapolis, IN 46220 Phone: 317-257-8340 | |
Steven Saied, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9480 Priority Way West Dr, Indianapolis, IN 46240 Phone: 317-818-0570 | |
Marycharlotte Turner Bales, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 426 S Alabama St Ste 200, Indianapolis, IN 46225 Phone: 317-528-6804 Fax: 317-528-3781 | |
Lisa Smiley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4340 W 96th St Ste 105a, Indianapolis, IN 46268 Phone: 317-660-1999 Fax: 317-660-1870 | |
Alyssa Bettag, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7701 E 21st St, Indianapolis, IN 46219 Phone: 317-329-1000 | |
Kristin Leigh Roth, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5515 W 38th St, Indianapolis, IN 46254 Phone: 317-880-0282 Fax: 317-880-0296 | |
Lisa M Oldham, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Senate Blvd, Suite Ag045, Indianapolis, IN 46202 Phone: 317-962-4836 Fax: 317-962-4812 |