Mr Richard Leaver, PT | |
1350 Kirts Blvd Ste 120, Troy, MI 48084-4851 | |
(248) 519-4900 | |
(248) 269-0385 |
Full Name | Mr Richard Leaver |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1350 Kirts Blvd Ste 120, Troy, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801994355 | NPI | - | NPPES |
64-00940 | Other | MI | PHP |
30658 | Other | MI | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501011119 (Michigan) | Primary |
Provider Name | Alliance Physical Therapy Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649216144 PECOS PAC ID: 8921065707 Enrollment ID: O20041214000041 |
Provider Name | Advent Rehabilitation, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1780639658 PECOS PAC ID: 9537070545 Enrollment ID: O20210513002139 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Leaver, PT 607 Dewey Ave Nw, Ste 300, Grand Rapids, MI 49504-5283 Ph: (616) 356-5000 | Mr Richard Leaver, PT 1350 Kirts Blvd Ste 120, Troy, MI 48084-4851 Ph: (248) 519-4900 |
Pamela Brioso Gonzales-lanac, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Beaumont Hospital-troy, 44201 Dequindre Rd Ste 203a, Troy, MI 48085 Phone: 248-964-4014 | |
Lana Spomer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1950 E Wattles Rd, Ste 108, Troy, MI 48085 Phone: 586-323-2957 | |
Mayank Shah, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3250 W Big Beaver Rd, Suite 304, Troy, MI 48084 Phone: 317-453-0430 | |
Purvi D Shah, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1663 Stephenson Hwy, Troy, MI 48083 Phone: 248-327-6619 Fax: 248-327-6628 | |
Amy Feyer Bodway, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4841 Danbury Dr, Troy, MI 48085 Phone: 248-302-4242 | |
Lauren Dysarz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2221 Livernois Rd Ste 103, Troy, MI 48083 Phone: 248-988-4410 Fax: 248-988-4411 | |
Michigan Institute For Human Performance Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2265 Livernois Rd, Suite 700, Troy, MI 48083 Phone: 248-269-0230 Fax: 248-269-0231 |