Mitchell Thomas, PT | |
301 S Ridge Ave Unit 301-303, Middletown, DE 19709-4650 | |
(302) 888-9480 | |
Not Available |
Full Name | Mitchell Thomas |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 301 S Ridge Ave Unit 301-303, Middletown, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861597593 | NPI | - | NPPES |
62243004 | Other | CAREFIRST | |
J10001570 | Other | DE | DE LICENSE |
1861597593 | Other | TRICARE CHAMPUS | |
5070-0082 | Other | NCA | |
2859738000 | Other | AMERIHEALTH IBC | |
11779633 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 21363 (Maryland) | Secondary |
225100000X | Physical Therapist | J10001570 (Delaware) | Primary |
Provider Name | Ivyrehab Delaware Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1750927141 PECOS PAC ID: 9638506702 Enrollment ID: O20200302001646 |
Mailing Address | Practice Location Address |
---|---|
Mitchell Thomas, PT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Mitchell Thomas, PT 301 S Ridge Ave Unit 301-303, Middletown, DE 19709-4650 Ph: (302) 888-9480 |
Jessica Vodzak, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Cleaver Farm Rd, Middletown, DE 19709 Phone: 302-449-2048 | |
Nathan Dixon Mcclain, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Cleaver Farm Rd, Suite 400, Middletown, DE 19709 Phone: 302-449-2048 Fax: 302-449-2047 | |
Ashley Mariano, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Bakerfield Dr, Middletown, DE 19709 Phone: 716-485-6536 | |
Lotus Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 735 Mapleton Ave Ste 203, Middletown, DE 19709 Phone: 302-598-8592 Fax: 302-907-9663 | |
Todd Everett, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Sleepy Hollow Dr, Suite 100, Middletown, DE 19709 Phone: 302-378-6111 Fax: 302-378-6198 | |
All Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 Carter Dr, Suite C, Middletown, DE 19709 Phone: 302-376-5578 Fax: 302-376-5580 | |
Dr. Christopher Breaux, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 Franklin Dr, Middletown, DE 19709 Phone: 337-842-1962 |