| Jordan Hanner, | |
|
3837 W Us Highway 10, Ludington, MI 49431-9601 | |
| (231) 674-5815 | |
| (231) 683-4705 |
| Full Name | Jordan Hanner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3837 W Us Highway 10, Ludington, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205615689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501302435 (Michigan) | Primary |
| Provider Name | Plymouth Physical Therapy Specialists Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174626329 PECOS PAC ID: 3870488521 Enrollment ID: O20070115000101 |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| 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 |
|---|---|
| Jordan Hanner, Po Box 412031, Boston, MA 02241-2031 Ph: (914) 294-4050 | Jordan Hanner, 3837 W Us Highway 10, Ludington, MI 49431-9601 Ph: (231) 674-5815 |
Mr. Ron Januel Lawrence, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5511 W Us Highway 10, Suite B, Ludington, MI 49431 Phone: 989-772-7755 Fax: 989-772-7750 | |
Rutvi Yashvant Chauhan, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5511 W Us Highway 10, Ludington, MI 49431 Phone: 231-845-0900 Fax: 231-845-0909 | |
Scott White, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5656 W Us Highway 10, Ludington, MI 49431 Phone: 231-316-1014 Fax: 231-316-1084 | |
Mr. Shradhdhey K. Patel, B.P.T./R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5511 W Us Highway 10, Ludington, MI 49431 Phone: 989-560-7591 | |
Ms. Dipa B. Patel, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5511 W Us Highway 10, Suite # B, Ludington, MI 49431 Phone: 989-772-7755 Fax: 989-772-7750 | |
Nancy A Quinteros, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2132 Fax: 231-845-2137 |