Lynn Difede, PT, DPT | |
4201b Anderson Ave, Ste 1a, Manhattan, KS 66503 | |
(785) 539-5555 | |
(785) 539-4551 |
Full Name | Lynn Difede |
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Gender | Female |
Speciality | Physical Therapist |
Location | 4201b Anderson Ave, Manhattan, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114492899 | NPI | - | NPPES |
201281300A | Medicaid | KS | |
1003878539 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 5501018709 (Michigan) | Secondary |
225100000X | Physical Therapist | 11-06372 (Kansas) | Primary |
Provider Name | Maximum Functional Performance Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851445894 PECOS PAC ID: 7416040720 Enrollment ID: O20070831000542 |
Mailing Address | Practice Location Address |
---|---|
Lynn Difede, PT, DPT 426a Mccall Rd, Manhattan, KS 66502-5032 Ph: (785) 776-0670 | Lynn Difede, PT, DPT 4201b Anderson Ave, Ste 1a, Manhattan, KS 66503 Ph: (785) 539-5555 |
Logan W Brown, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2309 Timber Creek Dr, Manhattan, KS 66502 Phone: 800-330-7711 | |
Kyleigh Moran, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1823 College Ave, Manhattan, KS 66502 Phone: 785-776-3322 | |
Dr. Darrin Head, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1133 College Ave Ste G200, Manhattan, KS 66502 Phone: 785-539-9669 | |
Travis J Nichols, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4201b Anderson Ave, Suite 1, Manhattan, KS 66503 Phone: 785-539-5555 Fax: 785-539-4551 | |
Ryan Wade Nittler, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 Charles Pl, Manhattan, KS 66502 Phone: 785-537-4200 Fax: 785-537-4354 | |
Ashley R Ingram, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Charles Pl, Manhattan, KS 66502 Phone: 785-537-4200 Fax: 785-537-4354 |