Mr Jon David Ely, PT | |
5590 Main St., Suite 4, Lexington, MI 48450 | |
(810) 359-8700 | |
(810) 359-8702 |
Full Name | Mr Jon David Ely |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 30 Years |
Location | 5590 Main St., Lexington, 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 |
---|---|---|---|
1275619538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501008405 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lexington Physical Therapy Pllc | 2769870765 | 4 |
Provider Name | Lexington Physical Therapy Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689347254 PECOS PAC ID: 2769870765 Enrollment ID: O20211025001539 |
Mailing Address | Practice Location Address |
---|---|
Mr Jon David Ely, PT Po Box 416, 5590 Main Street , Suite 4, Lexington, MI 48450-0416 Ph: (810) 359-8700 | Mr Jon David Ely, PT 5590 Main St., Suite 4, Lexington, MI 48450 Ph: (810) 359-8700 |
Mr. Gregory Garofalo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7021 Greenbush Ln, Lexington, MI 48450 Phone: 810-841-2817 | |
Lexington Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5590 Main St Ste 4, Lexington, MI 48450 Phone: 810-359-8700 Fax: 810-359-8702 | |
Mrs. Anita King, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5590 Main St, Suite 4, Lexington, MI 48450 Phone: 810-359-8700 |