Mariah Thompson, | |
401 15th St Se Ste 11-12, Demotte, IN 46310-9043 | |
(219) 987-3073 | |
Not Available |
Full Name | Mariah Thompson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 401 15th St Se Ste 11-12, Demotte, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235992256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05015446A (Indiana) | Primary |
Provider Name | Rci (wrs), Llc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1619583044 PECOS PAC ID: 5092624510 Enrollment ID: O20201222002606 |
Mailing Address | Practice Location Address |
---|---|
Mariah Thompson, 3 Biscayne St, Valparaiso, IN 46385-7339 Ph: () - | Mariah Thompson, 401 15th St Se Ste 11-12, Demotte, IN 46310-9043 Ph: (219) 987-3073 |
Katherine Sarosy, PTMS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 W Division St, Demotte, IN 46310 Phone: 219-987-9238 | |
Mrs. Donabelle Reyes Eliscupides, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10352 N 600 E, Demotte, IN 46310 Phone: 219-345-5211 | |
Mr. Rodney Aquino Jimenez, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10215 N 595 E, Demotte, IN 46310 Phone: 630-209-1899 | |
Maria Elena Marania, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10352 N 600 E, Demotte, IN 46310 Phone: 219-345-5211 Fax: 219-345-4949 | |
Mrs. Jessica Michelle Howard, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 401 15th St Se, Demotte, IN 46310 Phone: 219-662-8929 |