Joel Ingram, | |
3100 19th St Nw Ste 200, Rochester, MN 55901-6606 | |
(507) 322-3460 | |
(507) 322-3450 |
Full Name | Joel Ingram |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 3100 19th St Nw Ste 200, Rochester, Minnesota |
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 |
---|---|---|---|
1831607019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13372 (Minnesota) | Primary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Active Pt Corp | 9931279932 | 45 |
Provider Name | Active Pt Corp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124205604 PECOS PAC ID: 9931279932 Enrollment ID: O20080603000286 |
Mailing Address | Practice Location Address |
---|---|
Joel Ingram, 850 43rd Ave Ste 100, Moline, IL 61265-8401 Ph: (309) 743-2070 | Joel Ingram, 3100 19th St Nw Ste 200, Rochester, MN 55901-6606 Ph: (507) 322-3460 |
Melissa S Larson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5067 55th St Nw, Rochester, MN 55901 Phone: 507-292-7070 | |
Sara E Demars, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Nathan J Hellyer, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Jean C Weland, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Jade Patraw Metzger, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Joshua Mattison, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3708 Broadway Ave N Ste 110, Rochester, MN 55906 Phone: 507-322-3460 | |
Dr. Melanie Dawn Brennan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5335 E Frontage Rd Nw, Suite C, Rochester, MN 55901 Phone: 507-259-7570 Fax: 888-624-3107 |