Mr Chad Allan Petitt, PT | |
301 10th St, Sheldon, IA 51201-1529 | |
(712) 324-0110 | |
(712) 324-0031 |
Full Name | Mr Chad Allan Petitt |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 22 Years |
Location | 301 10th St, Sheldon, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255403317 | NPI | - | NPPES |
0655407 | Medicaid | IA | |
0803635 | Medicaid | IA | |
0601260 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 03442 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proactive Physical Therapy And Sports Rehab, Inc | 4587762406 | 7 |
Provider Name | Proactive Physical Therapy & Sports Rehab, Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487773602 PECOS PAC ID: 4587762406 Enrollment ID: O20150107001238 |
Mailing Address | Practice Location Address |
---|---|
Mr Chad Allan Petitt, PT 301 10th St, Sheldon, IA 51201-1529 Ph: (712) 324-0110 | Mr Chad Allan Petitt, PT 301 10th St, Sheldon, IA 51201-1529 Ph: (712) 324-0110 |
Christopher Andrew Otto, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 118 N 7th Ave, Sheldon, IA 51201 Phone: 712-324-5041 Fax: 712-324-6025 | |
Rachel Marie Like, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 301 10th St Ste C, Sheldon, IA 51201 Phone: 712-324-0110 | |
Mrs. Kayla Kruger, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 301 10th St Ste C, Sheldon, IA 51201 Phone: 712-324-0110 Fax: 712-324-0031 | |
Megan Rens, Physical Therapist Medicare: Medicare Enrolled Practice Location: 800 Oak St, Sheldon, IA 51201 Phone: 712-324-5356 | |
Justin L Phelan, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 118 N 7th Ave, Sheldon, IA 51201 Phone: 712-324-5041 | |
Timothy J Hartokolis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 628 6th Ave, Sheldon, IA 51201 Phone: 712-324-0125 |