Mr James Randolph Tilton Jr, PT | |
203 Dilts Rd, Ithaca, MI 48847-9475 | |
(989) 875-2266 | |
(989) 875-2225 |
Full Name | Mr James Randolph Tilton Jr |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 27 Years |
Location | 203 Dilts Rd, Ithaca, Michigan |
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 |
---|---|---|---|
1720007248 | NPI | - | NPPES |
A2741KD1 | Medicaid | IL | |
200770947 | Other | TAX ID | |
650B910270 | Other | MI | BCBSM AND BCN |
607648000 | Other | MI | OFFICE OF WORKERS COMP. |
64-70128 | Other | MI | PHP |
7594704 | Other | MI | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501008948 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ithaca Physical Therapy, Inc | 3779879994 | 5 |
Provider Name | Ithaca Physical Therapy, Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1316321052 PECOS PAC ID: 3779879994 Enrollment ID: O20160914000355 |
Mailing Address | Practice Location Address |
---|---|
Mr James Randolph Tilton Jr, PT 203 Dilts Rd, Ithaca, MI 48847-9475 Ph: (989) 875-2266 | Mr James Randolph Tilton Jr, PT 203 Dilts Rd, Ithaca, MI 48847-9475 Ph: (989) 875-2266 |
Dr. Ryan Richard Dietlein, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 203 Dilts Rd, Ithaca, MI 48847 Phone: 989-875-2266 Fax: 989-875-2225 | |
Cody Giddings, ATC, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 Dilts Rd, Ithaca, MI 48847 Phone: 989-875-2266 Fax: 989-875-2225 | |
Leslie Skiera, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 203 Dilts Rd, Ithaca, MI 48847 Phone: 989-875-2266 Fax: 989-875-2225 | |
Ithaca Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 203 Dilts Rd, Ithaca, MI 48847 Phone: 989-875-2266 Fax: 989-875-2225 | |
Joseph Alan Baxter, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 203 Dilts Rd, Ithaca, MI 48847 Phone: 989-875-2266 Fax: 989-875-2225 | |
Alex Sean Catlin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 509 E Center St, Ithaca, MI 48847 Phone: 989-875-4193 Fax: 989-875-3807 |