Mr Sidharth Anneboina, PT | |
202 E Van Riper Rd Ste 200, Fowlerville, MI 48836-7947 | |
(517) 223-2100 | |
(517) 223-2101 |
Full Name | Mr Sidharth Anneboina |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 202 E Van Riper Rd Ste 200, Fowlerville, 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 |
---|---|---|---|
1659683407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501013970 (Michigan) | Primary |
261QP2000X | Clinic/center - Physical Therapy | 5501013970 (Michigan) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Rehabilitation Specialists Of Fowlerville Llc | 6204730393 | 142 |
Provider Name | Northville Physical Rehabilitation Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982770673 PECOS PAC ID: 5193611101 Enrollment ID: O20070613000412 |
Provider Name | The Porretta Center For Orthopaedic Surgery, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306818331 PECOS PAC ID: 2860585544 Enrollment ID: O20070911000839 |
Provider Name | Michigan Rehabilitation Specialists Of Fowlerville Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1669531166 PECOS PAC ID: 6204730393 Enrollment ID: O20130927000721 |
Mailing Address | Practice Location Address |
---|---|
Mr Sidharth Anneboina, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 | Mr Sidharth Anneboina, PT 202 E Van Riper Rd Ste 200, Fowlerville, MI 48836-7947 Ph: (517) 223-2100 |
Lori L Konopacke, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 E Van Riper Rd, Ste 200, Fowlerville, MI 48836 Phone: 517-223-2100 Fax: 517-223-2101 | |
Eileen Palad Ramos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 E. Grand River, Fowlerville, MI 48836 Phone: 517-223-8308 Fax: 517-223-8344 | |
Mid Michigan Physical Therapy Specialists, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 E Grand River Ave, Fowlerville, MI 48836 Phone: 517-223-8308 Fax: 517-223-8344 | |
Charles Thomas Hoffman, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 E Van Riper Rd, Suite 200, Fowlerville, MI 48836 Phone: 517-223-2100 Fax: 517-223-2101 | |
Daniel Michael Santioni, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 115 E Grand River Ave, Fowlerville, MI 48836 Phone: 517-223-8308 Fax: 517-223-8344 | |
Mr. John Trevor Dean, PT,DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 125 E Grand River Ave, Fowlerville, MI 48836 Phone: 517-223-8308 Fax: 517-223-8344 | |
Mr. William Thomas Weakland, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 E Van Riper Rd, Suite 202, Fowlerville, MI 48836 Phone: 517-223-2100 Fax: 517-223-2101 |