| Michelle C Withrow, PT | |
|
250 Debartolo Pl Ste 1100, Youngstown, OH 44512-7004 | |
| (234) 287-6660 | |
| (234) 287-6669 |
| Full Name | Michelle C Withrow |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 250 Debartolo Pl Ste 1100, Youngstown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760463905 | NPI | - | NPPES |
| 000000364664 | Other | OH | ANTHEM |
| BR4018926 | Other | OH | MEDICARE RAILROAD |
| P00312509 | Other | OH | MEDICARE RAILROAD |
| 2207516 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 08327 (Ohio) | Primary |
| Provider Name | Triad Health Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle C Withrow, PT 100 Debartolo Pl Ste 200, Youngstown, OH 44512-6095 Ph: (330) 729-8000 | Michelle C Withrow, PT 250 Debartolo Pl Ste 1100, Youngstown, OH 44512-7004 Ph: (234) 287-6660 |
Hannah Lockard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 Churchill Hubbard Rd, Youngstown, OH 44505 Phone: 330-759-5904 Fax: 330-759-8709 | |
Dawnelle Jewell, Physical Therapist Medicare: Medicare Enrolled Practice Location: 299 Edwards St, Youngstown, OH 44502 Phone: 330-743-1168 | |
Eric Haybarger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 | |
Rebekah Michelle Ostrode, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 299 Edwards St, Youngstown, OH 44502 Phone: 330-743-1168 Fax: 330-743-1616 | |
Dr. Brian M Fryda, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 137 Lost Creek Dr, Youngstown, OH 44512 Phone: 330-501-3220 | |
Ernesto Tenedor, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 Churchill Hubbard Rd, Youngstown, OH 44505 Phone: 330-759-5904 Fax: 330-759-8709 | |
Youngstown Physical Therapists Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5500 Market St, Suite 127, Youngstown, OH 44512 Phone: 330-783-2256 Fax: 330-783-5068 |