Kevin Patrick Ryan, MPT | |
1111 W North 12th St, Shelbyville, IL 62565-9554 | |
(217) 774-2111 | |
(217) 774-9616 |
Full Name | Kevin Patrick Ryan |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 16 Years |
Location | 1111 W North 12th St, Shelbyville, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326341645 | NPI | - | NPPES |
070017064 | Other | IL | PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Pcw Pt Llc | 3779807482 | 3 |
Provider Name | Midwest Pcw Pt Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275931156 PECOS PAC ID: 3779807482 Enrollment ID: O20150128000517 |
Mailing Address | Practice Location Address |
---|---|
Kevin Patrick Ryan, MPT 420 Kirk Dr, Mt Zion, IL 62549-1612 Ph: (217) 433-9595 | Kevin Patrick Ryan, MPT 1111 W North 12th St, Shelbyville, IL 62565-9554 Ph: (217) 774-2111 |
Ethan Turner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2100 W. South 3rd, Shelbyville, IL 62565 Phone: 217-774-9660 | |
Sarah Vogel, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 S Cedar St, Shelbyville, IL 62565 Phone: 217-774-6434 | |
Amy Jean Summers, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2100 W South 3rd Street, Shelbyville, IL 62565 Phone: 217-774-9660 Fax: 214-774-9661 | |
Mrs. Michelle Anne Mcclain, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 S Cedar St, Shelbyville, IL 62565 Phone: 217-774-6434 Fax: 217-774-6403 |