| Kevin Sison, | |
|
3500 Franciscan Way, Michigan City, IN 46360-0021 | |
| (219) 877-1613 | |
| Not Available |
| Full Name | Kevin Sison |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3500 Franciscan Way, Michigan City, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962973057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05012372A (Indiana) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174275283 PECOS PAC ID: 2365359932 Enrollment ID: O20110708000322 |
| Provider Name | Creative Health Care Management Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Sison, 2301 Dowling St, Valparaiso, IN 46385-7830 Ph: (219) 510-2417 | Kevin Sison, 3500 Franciscan Way, Michigan City, IN 46360-0021 Ph: (219) 877-1613 |
Rachel Heard Benson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8807 W 400 N, Suite B, Michigan City, IN 46360 Phone: 219-809-9614 | |
Brooke Nack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Franciscan Way Ste 400, Michigan City, IN 46360 Phone: 219-878-8200 Fax: 219-878-8331 | |
Urszula Anna Piergalski, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way Ste 400, Michigan City, IN 46360 Phone: 219-878-8200 | |
Doran Lounsbury, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 301 W Homer St, Michigan City, IN 46360 Phone: 219-879-8511 | |
Cassie Renee Seal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5178 Franklin St, Michigan City, IN 46360 Phone: 219-879-2523 Fax: 219-879-5162 | |
Jennifer Slavo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3710 Franklin St, Michigan City, IN 46360 Phone: 219-561-0828 | |
Kelly Stewart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Homer Street, Michigan City, IN 46360 Phone: 219-879-8511 |