| Justin James Payette, DPT, CSCS | |
|
6347 Cermak Rd, Berwyn, IL 60402-4200 | |
| (708) 749-2566 | |
| Not Available |
| Full Name | Justin James Payette |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6347 Cermak Rd, Berwyn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841503612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT020771 (Pennsylvania) | Secondary |
| 225100000X | Physical Therapist | 070-018739 (Illinois) | Primary |
| Provider Name | West Virginia University Medical Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin James Payette, DPT, CSCS 6347 Cermak Rd, Berwyn, IL 60402-4200 Ph: (708) 749-2566 | Justin James Payette, DPT, CSCS 6347 Cermak Rd, Berwyn, IL 60402-4200 Ph: (708) 749-2566 |
Suburban Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3239 S Grove Ave, Ste #100, Berwyn, IL 60402 Phone: 708-637-5020 Fax: 708-484-7446 | |
Nina Rossiello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6347 Cermak Rd Ste A, Berwyn, IL 60402 Phone: 708-749-2566 Fax: 708-749-2498 | |
Vanessa Maldonado, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6347 Cermak Rd Ste A, Berwyn, IL 60402 Phone: 708-749-2566 Fax: 708-749-2498 | |
Alberto Segura Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3501 S Harlem Ave, Berwyn, IL 60402 Phone: 847-818-0461 Fax: 847-818-0462 | |
Deborah Gaddam, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6347 Cermak Rd Ste A, Berwyn, IL 60402 Phone: 708-749-2566 Fax: 708-749-2498 | |
Dr. Kate Edwards, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3249 S. Oak Park Avenue, Berwyn, IL 60402 Phone: 708-829-1293 | |
James P Boggia, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6347 Cermak Rd Ste A, Berwyn, IL 60402 Phone: 708-749-2566 Fax: 708-749-2498 |