Jonathan David Stewart, DPT | |
709 W Superior St, Wayland, MI 49348-1226 | |
(269) 792-4440 | |
(616) 965-2475 |
Full Name | Jonathan David Stewart |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 709 W Superior St, Wayland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629792056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501302214 (Michigan) | Primary |
Provider Name | Ivyrehab Michigan Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Mailing Address | Practice Location Address |
---|---|
Jonathan David Stewart, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Jonathan David Stewart, DPT 709 W Superior St, Wayland, MI 49348-1226 Ph: (269) 792-4440 |
Chad William Sterk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 Fax: 616-965-2475 | |
Michael Brendan Brossman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Carlos Mata, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Courtney Earles, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Denise Jongekrijg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 Fax: 616-965-2475 | |
Matthew D Casterline, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Jordan Defever, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 893 E Superior St, Wayland, MI 49348 Phone: 616-252-3433 |