Mr Richard Alan Fruitman, MPT | |
42955 Ford Rd, Canton, MI 48187-3308 | |
(734) 981-2100 | |
(734) 981-2622 |
Full Name | Mr Richard Alan Fruitman |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 42955 Ford Rd, Canton, 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 |
---|---|---|---|
1710991674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501010181 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Michigan Llc | 6901165893 | 95 |
Provider Name | Ivyrehab Michigan Llc |
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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 Richard Alan Fruitman, MPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Mr Richard Alan Fruitman, MPT 42955 Ford Rd, Canton, MI 48187-3308 Ph: (734) 981-2100 |
Shelley Marie Poliner, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5969 N Canton Center Rd, Canton, MI 48187 Phone: 877-407-3422 Fax: 877-407-4329 | |
Joel Joven, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 N Haggerty Rd, Suite 280, Canton, MI 48187 Phone: 734-844-0800 | |
Kothainayagi Anandhan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7025 N Lilley Rd, Canton, MI 48187 Phone: 734-394-3100 | |
Anna Pia Hapin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7025 N Lilley Rd, Canton, MI 48187 Phone: 734-394-3100 | |
Synergy Physical Therapy And Rehab, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46743 Woodside Dr, Canton, MI 48187 Phone: 734-837-9673 Fax: 734-981-8062 | |
Anbu Punniyakotti, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 49628 Great Falls Rd, Canton, MI 48188 Phone: 734-397-2830 Fax: 734-397-4918 | |
Hardik Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 N Haggerty Rd Ste 280, Canton, MI 48187 Phone: 734-844-0800 Fax: 734-844-0808 |