Jonathan K Oneill, PT, DPT | |
191 Swanson Ave #102, Lake Havasu City, AZ 86403-6699 | |
(928) 855-7880 | |
Not Available |
Full Name | Jonathan K Oneill |
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Gender | Male |
Speciality | Physical Therapist |
Location | 191 Swanson Ave #102, Lake Havasu City, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144919952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 32959 (Arizona) | Primary |
Provider Name | Agave Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720521040 PECOS PAC ID: 2163705799 Enrollment ID: O20170206002238 |
Mailing Address | Practice Location Address |
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Jonathan K Oneill, PT, DPT 191 Swanson Ave #102, Lake Havasu City, AZ 86403 Ph: (928) 855-7880 | Jonathan K Oneill, PT, DPT 191 Swanson Ave #102, Lake Havasu City, AZ 86403-6699 Ph: (928) 855-7880 |
Ms. Elizabeth Rorie Page, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1951 Mesquite Ave, Suite # I, Lake Havasu City, AZ 86403 Phone: 928-680-1637 | |
Anita Gail Martin, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25 Riviera Blvd, Lake Havasu City, AZ 86403 Phone: 928-505-5555 Fax: 928-505-2877 | |
Mark B Lim, MD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1840 Mesquite Ave Ste B, Lake Havasu City, AZ 86403 Phone: 928-453-8500 | |
Donna G Jones D/b/a Havasu Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2126 Mcculloch Blvd N, Ste 18, Lake Havasu City, AZ 86403 Phone: 928-854-7676 Fax: 928-854-7676 | |
Dr. David Funk, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2781 Osborn Dr, Lake Havasu City, AZ 86406 Phone: 814-758-8838 | |
Walter Edwin Foxcroft Iii, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1791 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-855-4248 Fax: 928-855-7452 |