Lake Isabella Physical Therapy, Llc is a
Physical Therapy Assistant based in Weidman, Michigan. Lake Isabella Physical Therapy, Llc is licensed to practice in Michigan (license number 5502001683) and their current practice location is
50 N Coldwater Rd, Suite D, Weidman, Michigan. It can be reached at their office (for appointments etc.) via phone at
(989) 546-7490.
NPI number for Lake Isabella Physical Therapy, Llc is 1376952853 and their current mailing address is 50 N Coldwater Rd, Suite D, Weidman, Michigan. Lake Isabella Physical Therapy, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1376952853.
Healthcare Provider's Profile
| Full Name | Lake Isabella Physical Therapy, Llc |
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| Type | Facility |
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| Speciality | Physical Therapy Assistant |
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| Location | 50 N Coldwater Rd, Weidman, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376952853
- Provider Enumeration Date: 08/08/2014
- Last Update Date: 08/08/2014
Medical Identifiers
Medical identifiers for Lake Isabella Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376952853 | NPI | - | NPPES |
| 1376811729 | Other | MI | PTAN MI5338 |
| UNVLIPT2011 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 5501014675 (Michigan) | Secondary |
| 225200000X | Physical Therapy Assistant | 5502003378 (Michigan) | Secondary |
| 225200000X | Physical Therapy Assistant | 5502001683 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lake Isabella Physical Therapy, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lake Isabella Physical Therapy, Llc
50 N Coldwater Rd, Suite D,
Weidman, MI 48893-8845
Ph: (989) 546-7490 | Lake Isabella Physical Therapy, Llc
50 N Coldwater Rd, Suite D,
Weidman, MI 48893-8845
Ph: (989) 546-7490 |
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