Mr Steven C Ko, PT | |
203 Se 22nd St, Suite 9, Bentonville, AR 72712-4310 | |
(479) 273-9933 | |
(479) 273-9935 |
Full Name | Mr Steven C Ko |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 20 Years |
Location | 203 Se 22nd St, Bentonville, Arkansas |
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 |
---|---|---|---|
1689622912 | NPI | - | NPPES |
164492742 | Medicaid | AR | |
2082512000 | Other | AR | QUALCHOICE |
712695 | Other | ACN GROUP | |
PT2772 | Other | AR | ARK STATE BOARD OF PT |
5Y077 | Other | AR | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT2772 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premiere Physical Therapy And Sports Rehab Llc | 9234236183 | 5 |
Provider Name | Premiere Physical Therapy And Sports Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1134258981 PECOS PAC ID: 9234236183 Enrollment ID: O20070529000640 |
Mailing Address | Practice Location Address |
---|---|
Mr Steven C Ko, PT 203 Se 22nd St, Suite 9, Bentonville, AR 72712-4310 Ph: (479) 273-9933 | Mr Steven C Ko, PT 203 Se 22nd St, Suite 9, Bentonville, AR 72712-4310 Ph: (479) 273-9933 |
Mrs. Heidi Marie Epperson, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Tiger Blvd., Bentonville, AR 72712 Phone: 479-254-5065 Fax: 479-271-1123 | |
Ms. Tiffany Pharr Currier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 Se 22nd St, Suite 9, Bentonville, AR 72712 Phone: 479-273-9933 Fax: 479-273-9935 | |
Mrs. Leah Britt Dugal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Greenhouse Rd, Bentonville, AR 72713 Phone: 479-795-1260 | |
Chelsea Waldkirch, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1010 Nw J St Ste I, Bentonville, AR 72712 Phone: 479-440-4147 | |
Mr. Noel C. Tugwell, MPT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1002 Westpark Dr, Ste 6, Bentonville, AR 72712 Phone: 479-250-4014 Fax: 479-250-4015 | |
Mr. David Logan Hill, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 908 Nw 8th Street, Bentonville, AR 72712 Phone: 479-273-1141 Fax: 479-273-3762 | |
Ashley Spencer, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3201 Sw Regency Pkwy Ste 5, Bentonville, AR 72712 Phone: 479-252-3321 Fax: 479-668-2257 |