| Michael Cavataio, | |
|
851 Penniman Ave, Plymouth, MI 48170-1621 | |
| (248) 349-9595 | |
| Not Available |
| Full Name | Michael Cavataio |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 851 Penniman Ave, Plymouth, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851003941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501020058 (Michigan) | Primary |
| Provider Name | Krs Of Clawson Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194840223 PECOS PAC ID: 2163527276 Enrollment ID: O20070418000548 |
| Provider Name | St Mary Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275724502 PECOS PAC ID: 0749351054 Enrollment ID: O20080613000296 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Cavataio, 851 Penniman Ave, Plymouth, MI 48170-1621 Ph: (248) 349-9595 | Michael Cavataio, 851 Penniman Ave, Plymouth, MI 48170-1621 Ph: (248) 349-9595 |
Tyler Donald Bolley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9368 N Lilley Rd, Plymouth, MI 48170 Phone: 734-416-3900 Fax: 734-416-3903 | |
Eric Normand Duquette, Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Joel Hegeman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 W Ann Arbor Trl, Suite 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Emily Jean Soto, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 580 Forest Ave Ste 1b, Plymouth, MI 48170 Phone: 734-673-8545 Fax: 734-545-8135 | |
Dorene Dudek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14300 N Beck Rd, Plymouth, MI 48170 Phone: 248-380-6222 Fax: 248-380-6224 | |
Heather Ngo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Aaron Hinton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 |