Martina N/a Mikulic, DPT | |
304 E Jackson St Ste 2f, Willard, MO 65781-9472 | |
(417) 221-4667 | |
Not Available |
Full Name | Martina N/a Mikulic |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 304 E Jackson St Ste 2f, Willard, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659040269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT029692 (Pennsylvania) | Secondary |
225100000X | Physical Therapist | 2024025501 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pivot Physical Therapy Of Pennsylvania Llc | 4981971843 | 68 |
Provider Name | Pivot Physical Therapy Of Pennsylvania Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881132488 PECOS PAC ID: 4981971843 Enrollment ID: O20170515000834 |
Mailing Address | Practice Location Address |
---|---|
Martina N/a Mikulic, DPT Po Box 257, Willard, MO 65781-0257 Ph: (417) 221-4667 | Martina N/a Mikulic, DPT 304 E Jackson St Ste 2f, Willard, MO 65781-9472 Ph: (417) 221-4667 |
Austin Evan Kats, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667 | |
Dr. Kala Danielle Sheppard, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667 Fax: 417-744-9674 | |
Dakota Lager Pearce, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667 | |
Lauren Alexandra Kelley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 Farmer Rd, Willard, MO 65781 Phone: 417-742-0930 | |
Maria S Harless, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Willard R-ii Schools, 407 Farmer Rd, Willard, MO 65781 Phone: 417-742-0930 Fax: 417-742-0841 | |
Willard R-ii Schools Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 Farmer Rd, Willard, MO 65781 Phone: 417-742-2584 Fax: 417-742-2586 |