Mr Joseph Bruce Walters, MS PT | |
1423 W Centre Ave, Portage, MI 49024-5351 | |
(269) 323-4300 | |
(269) 323-4449 |
Full Name | Mr Joseph Bruce Walters |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 1423 W Centre Ave, Portage, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710003157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 5501008230 (Michigan) | Primary |
Provider Name | Ivyrehab Michigan Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Mailing Address | Practice Location Address |
---|---|
Mr Joseph Bruce Walters, MS PT 5581 Bobwhite Ave, Kalamazoo, MI 49009-4593 Ph: (269) 375-3404 | Mr Joseph Bruce Walters, MS PT 1423 W Centre Ave, Portage, MI 49024-5351 Ph: (269) 323-4300 |
Will Knoll, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6016 Lovers Ln Ste 3, Portage, MI 49002 Phone: 269-329-0934 | |
Mr. Subhransu Mohan Samanta, BPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5066 Trumpeter Dr, Portage, MI 49024 Phone: 269-353-9075 | |
Focus Pt Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9245 Austin Dr, Portage, MI 49002 Phone: 574-361-9396 Fax: 269-321-0156 | |
Megan Laura Cooper, P.T., D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1423 W Centre Ave, Portage, MI 49024 Phone: 269-323-4300 | |
Patricia V Krautmann, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5220 Lovers Ln Ste 130, Portage, MI 49002 Phone: 269-459-3693 | |
Mr. Rajendra C Sharma, PHYSICALTHERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5811 S Westnedge Ave, Portage, MI 49002 Phone: 269-217-0670 | |
Actionphysicaltherapyyoga&wellnesscenterinc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5811 S Westnedge Ave, Portage, MI 49002 Phone: 269-217-0670 Fax: 000-000-0000 |