Jordan Ball, DPT | |
444 Four States Dr., Ste 1, Galena, KS 66739-4325 | |
(620) 783-4441 | |
(620) 783-4090 |
Full Name | Jordan Ball |
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Gender | Male |
Speciality | Physical Therapist |
Location | 444 Four States Dr., Galena, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053746040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Missouri) | Secondary |
225100000X | Physical Therapist | 1105269 (Kansas) | Primary |
Provider Name | Advanced Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1427401702 PECOS PAC ID: 5395032882 Enrollment ID: O20200430002118 |
Mailing Address | Practice Location Address |
---|---|
Jordan Ball, DPT Po Box 2546, Joplin, MO 64803-2546 Ph: (620) 783-4441 | Jordan Ball, DPT 444 Four States Dr., Ste 1, Galena, KS 66739-4325 Ph: (620) 783-4441 |
Rhonda Stork, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr, Ste 1, Galena, KS 66379 Phone: 620-783-4441 Fax: 620-783-4090 | |
Mr. Kurtis William Krtek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 444 Four States Dr., Ste 1, Galena, KS 66739 Phone: 620-783-4441 Fax: 620-783-4090 | |
Austin Dupree Ahles, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 444 Four States Dr., Ste 1, Galena, KS 66739 Phone: 620-783-4441 Fax: 620-783-4090 | |
Mrs. Kelli Jo Youngblood, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 444 Four States Dr, Galena, KS 66739 Phone: 620-783-4111 Fax: 620-783-4112 | |
Rodney N Dreier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 444 Four States Dr Ste 1, Galena, KS 66739 Phone: 620-783-4441 Fax: 620-783-4090 | |
Dr. Ashley Michelle Boles, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 444 Four States Dr Ste 1, Galena, KS 66739 Phone: 620-783-4441 Fax: 620-783-4090 |