Luke F Taccola, PT, DPT | |
1601 E Terra Ln, O Fallon, MO 63366-4414 | |
(636) 978-6634 | |
(636) 978-6643 |
Full Name | Luke F Taccola |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 1601 E Terra Ln, O Fallon, Missouri |
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 |
---|---|---|---|
1780256404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
Mailing Address | Practice Location Address |
---|---|
Luke F Taccola, PT, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Luke F Taccola, PT, DPT 1601 E Terra Ln, O Fallon, MO 63366-4414 Ph: (636) 978-6634 |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 343 Winding Woods Ctr, O Fallon, MO 63366 Phone: 636-439-2004 Fax: 636-439-2054 | |
Jennifer Jo Freeling, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3404 E Terra Ln, O Fallon, MO 63366 Phone: 636-970-0336 Fax: 636-970-0337 | |
Ms. Kathryn R Summers, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 939 Highway K, O Fallon, MO 63366 Phone: 636-240-7000 Fax: 636-240-7513 | |
Lorenzo G Catapang, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 343 Winding Woods Ctr, O Fallon, MO 63366 Phone: 636-439-2004 Fax: 636-439-2054 | |
Kelli Kenady, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2982 Highway K, O Fallon, MO 63368 Phone: 314-464-0379 | |
Caitlin M Niemeier, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1096 Tom Ginnever Ave, O Fallon, MO 63366 Phone: 636-978-5255 Fax: 636-978-5287 | |
Mr. Richard Sebastian Pagano, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1601 E Terra Ln, O Fallon, MO 63366 Phone: 636-978-6634 |