| Melissa Prus, PT, DPT | |
|
6425 Harvey St, Norton Shores, MI 49444-9739 | |
| (317) 984-8662 | |
| (231) 798-6391 |
| Full Name | Melissa Prus |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 6425 Harvey St, Norton Shores, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215408745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501018949 (Michigan) | Secondary |
| 2251P0200X | Physical Therapist - Pediatrics | 5501018949 (Michigan) | Primary |
| Provider Name | Mary Free Bed Rehabilitation Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730133463 PECOS PAC ID: 4587576541 Enrollment ID: O20040116000604 |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Prus, PT, DPT 235 Wealthy St Se, Grand Rapids, MI 49503-5247 Ph: (616) 840-7135 | Melissa Prus, PT, DPT 6425 Harvey St, Norton Shores, MI 49444-9739 Ph: (317) 984-8662 |
Anna Delamielleure, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6425 Harvey St, Norton Shores, MI 49444 Phone: 231-798-4866 | |
Patrick T Jewett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1635 W Sherman Blvd, Norton Shores, MI 49441 Phone: 231-755-4404 Fax: 231-755-7704 | |
Megan Kathleen Huettner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 E Sherman Blvd, Norton Shores, MI 49444 Phone: 231-737-4374 Fax: 231-830-9196 | |
Laura Kordick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 945 E Sherman Blvd, Norton Shores, MI 49444 Phone: 231-737-4374 Fax: 231-830-9196 | |
Alec Walstra, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6425 Harvey St, Norton Shores, MI 49444 Phone: 231-798-4866 | |
Ashley Kooistra, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 E Sherman Blvd, Norton Shores, MI 49444 Phone: 231-737-4374 Fax: 231-830-9196 |