Joseph Lydiatt, | |
301 W Broadway Ste 100, Council Bluffs, IA 51503-9071 | |
(712) 322-9688 | |
Not Available |
Full Name | Joseph Lydiatt |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 301 W Broadway Ste 100, Council Bluffs, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306520911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4513 (Nebraska) | Primary |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20150820012358 |
Mailing Address | Practice Location Address |
---|---|
Joseph Lydiatt, 301 W Broadway Ste 100, Council Bluffs, IA 51503-9071 Ph: () - | Joseph Lydiatt, 301 W Broadway Ste 100, Council Bluffs, IA 51503-9071 Ph: (712) 322-9688 |
Jennifer Nourse, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2306 Sherwood Dr, Council Bluffs, IA 51503 Phone: 712-322-1000 | |
Bridget Epperson, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 Valley View Dr, Suite 7, Council Bluffs, IA 51503 Phone: 712-256-1800 | |
Jennifer Lee Young, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 105 Surrey Ave, Council Bluffs, IA 51503 Phone: 712-310-9118 | |
Simply Young, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 105 Surrey Ave, Council Bluffs, IA 51503 Phone: 712-310-9118 | |
Tanner Sand, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1260 Valley View Dr, Council Bluffs, IA 51503 Phone: 712-396-2000 | |
Alisha Baas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 W Broadway, Council Bluffs, IA 51503 Phone: 712-329-9419 Fax: 712-329-0329 | |
Ronald Reales, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Elliott St, Council Bluffs, IA 51503 Phone: 712-328-9500 |