Mr Christopher John Smolko, PT | |
7230 Mentor Ave, Mentor, OH 44060-7522 | |
(440) 946-5858 | |
(440) 918-4870 |
Full Name | Mr Christopher John Smolko |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 7230 Mentor Ave, Mentor, Ohio |
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 |
---|---|---|---|
1215025564 | NPI | - | NPPES |
20-0715484 | Other | OH | TAX IDENTIFICATION NUMBER |
010069 | Other | OH | STATE OF OHIO LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 010069 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Custom Care Rehab Llc | 3971927443 | 4 |
Provider Name | Custom Care Rehab Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619598778 PECOS PAC ID: 3971927443 Enrollment ID: O20200717000347 |
Mailing Address | Practice Location Address |
---|---|
Mr Christopher John Smolko, PT 7230 Mentor Ave, Mentor, OH 44060-7522 Ph: (440) 946-5858 | Mr Christopher John Smolko, PT 7230 Mentor Ave, Mentor, OH 44060-7522 Ph: (440) 946-5858 |
Leigh Alexander, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8836 Tyler Blvd, Mentor, OH 44060 Phone: 440-255-9553 Fax: 440-255-9563 | |
Ryan C Tedrick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8358 Munson Rd, Mentor, OH 44060 Phone: 440-255-2009 Fax: 440-255-9050 | |
Gregory C. Morris, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6000 Heisley Rd, Mentor, OH 44060 Phone: 440-357-6677 Fax: 440-357-6681 | |
Daniel Price, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7257 Center St, Mentor, OH 44060 Phone: 440-740-8877 | |
Mr. John Alan Craigo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7230 Mentor Ave, Mentor, OH 44060 Phone: 440-946-5858 Fax: 440-918-4870 | |
Tudor Home Therapies, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8836 Tyler Blvd, Mentor, OH 44060 Phone: 440-255-9553 Fax: 440-255-9563 | |
Mrs. Molly Ann Stevens, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8500 Station St # 255, Mentor, OH 44060 Phone: 440-725-0703 |