Mr Mark Frederick, PT | |
908 N Pearl St, Paola, KS 66071-1140 | |
(913) 294-4308 | |
Not Available |
Full Name | Mr Mark Frederick |
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Gender | Male |
Speciality | Physical Therapist |
Location | 908 N Pearl St, Paola, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306234604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11-03035 (Kansas) | Primary |
Provider Name | Empowerme Rehabilitation Missouri Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1205334521 PECOS PAC ID: 9234402470 Enrollment ID: O20180810001282 |
Provider Name | Empowerme Wellness Kansas City Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124619697 PECOS PAC ID: 9830504836 Enrollment ID: O20210304001079 |
Mailing Address | Practice Location Address |
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Mr Mark Frederick, PT 908 N Pearl St, Paola, KS 66071-1140 Ph: (913) 294-4308 | Mr Mark Frederick, PT 908 N Pearl St, Paola, KS 66071-1140 Ph: (913) 294-4308 |
Joseph Allen Burbee, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 505 S Hospital Dr, Paola, KS 66071 Phone: 913-404-4101 Fax: 913-745-4352 | |
Mrs. Anna Colleen Foxworthy, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Baptiste Dr, Paola, KS 66071 Phone: 913-294-6679 |