Mr David D Moore Ii, MPT | |
461 S Illinois Ave, Mason City, IA 50401-4439 | |
(641) 423-6279 | |
(641) 423-6707 |
Full Name | Mr David D Moore Ii |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 461 S Illinois Ave, Mason City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649883703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 01946 (Iowa) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20150820012358 |
Mailing Address | Practice Location Address |
---|---|
Mr David D Moore Ii, MPT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6250 | Mr David D Moore Ii, MPT 461 S Illinois Ave, Mason City, IA 50401-4439 Ph: (641) 423-6279 |
Kristine Trask, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 520 S Pierce Ave, #224, Mason City, IA 50401 Phone: 641-421-8584 | |
Jared James Johanns, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 250 S Crescent Dr, Mason City, IA 50401 Phone: 641-494-5255 Fax: 641-494-5259 | |
Joseph S Gullickson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 461 S Illinois Ave, Mason City, IA 50401 Phone: 641-423-6279 Fax: 641-423-6707 | |
Paula M Siems, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 S Crescent Dr, Mason City, IA 50401 Phone: 641-422-6995 Fax: 641-422-6577 | |
Mattison R Munger, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 461 S Illinois Ave, Mason City, IA 50401 Phone: 641-423-6279 | |
Jared James Lichman, DPT, LAT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 825 S Taft Ave Ste 4, Mason City, IA 50401 Phone: 641-450-0616 | |
Dr. Jeremy Kevin Stamps, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 4th St Sw, Mason City, IA 50401 Phone: 708-704-4657 |