Mr Michael Glen Shannon, PHYSICAL THERAPIST | |
4358 Ferguson Dr, Cincinnati, OH 45245-1680 | |
(513) 943-5322 | |
(513) 943-0725 |
Full Name | Mr Michael Glen Shannon |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4358 Ferguson Dr, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881654465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6392 (Ohio) | Primary |
Provider Name | Next Pt Group Kentucky, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861962581 PECOS PAC ID: 9032442017 Enrollment ID: O20190605003369 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Glen Shannon, PHYSICAL THERAPIST 4358 Ferguson Dr, Cincinnati, OH 45245-1680 Ph: (513) 943-5322 | Mr Michael Glen Shannon, PHYSICAL THERAPIST 4358 Ferguson Dr, Cincinnati, OH 45245-1680 Ph: (513) 943-5322 |
Abigail Grover Snook, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4750 Wesley Ave, Cincinnati, OH 45212 Phone: 513-458-8857 | |
Kristen Leigh Arveson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3950 Red Bank Rd, Cincinnati, OH 45227 Phone: 513-246-8840 Fax: 513-246-8841 | |
Casey Turner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3200 Vine St, Rehabilitation Care Line, Cincinnati, OH 45220 Phone: 513-861-3100 | |
Dr. Logan Stewart Waddell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8135 Beechmont Ave, West 269, Cincinnati, OH 45255 Phone: 513-368-5212 | |
Christopher M Wall, PT, DPT, OCS, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3430 Burnet Ave # 4007, Cincinnati, OH 45229 Phone: 513-803-9355 | |
Heather Michele Bulmer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6210 Cleves Warsaw Pike, Cincinnati, OH 45233 Phone: 513-941-0099 | |
Kerry Caddell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6210 Cleves Warsaw Pike, Cincinnati, OH 45233 Phone: 513-941-0099 |