Jonathan Dv Sanner, DPT | |
3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3448 | |
(574) 252-4150 | |
(574) 252-4159 |
Full Name | Jonathan Dv Sanner |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 3740 Edison Lakes Pkwy, Mishawaka, Indiana |
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 |
---|---|---|---|
1134672728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501015777 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michiana Spine, Sports And Occupational Rehab, Pc | 3375500093 | 2 |
Provider Name | Michiana Spine, Sports & Occupational Rehab, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912074659 PECOS PAC ID: 3375500093 Enrollment ID: O20041214001161 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Dv Sanner, DPT 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3448 Ph: (574) 252-4150 | Jonathan Dv Sanner, DPT 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3448 Ph: (574) 252-4150 |
Coronel Einna-ernest Lopez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5325 Grape Rd Ste C, Mishawaka, IN 46545 Phone: 574-404-8405 Fax: 574-314-9034 | |
Cory Goodson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 E Douglas Rd, Mishawaka, IN 46545 Phone: 574-307-7200 | |
Leslie Ann Laughlin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 W Day Rd, Mishawaka, IN 46545 Phone: 574-256-9420 Fax: 574-256-9465 | |
Ergonomic Health Solutions Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3640 Edison Lakes Pkwy, Suite B, Mishawaka, IN 46545 Phone: 574-256-6704 Fax: 574-256-2284 | |
Mr. David Yugo, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4455 Edison Lakes Pkwy, Mishawaka, IN 46545 Phone: 574-259-1175 Fax: 574-259-9671 | |
Mrs. Darla J Lingle, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3630 Hickory Rd, Mishawaka, IN 46545 Phone: 574-252-7225 |