Mr Travis Wayne Vander Reyden, PT | |
900 I St, Laporte, IN 46350-5533 | |
(219) 324-1700 | |
Not Available |
Full Name | Mr Travis Wayne Vander Reyden |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 900 I St, Laporte, Indiana |
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 |
---|---|---|---|
1134104292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05007152A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Physical Therapy Llc | 6002959525 | 150 |
Provider Name | Advanced Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1316940505 PECOS PAC ID: 6002959525 Enrollment ID: O20111006000030 |
Mailing Address | Practice Location Address |
---|---|
Mr Travis Wayne Vander Reyden, PT 328 N Michigan St, Ste. 200, South Bend, IN 46601-1244 Ph: (574) 647-1845 | Mr Travis Wayne Vander Reyden, PT 900 I St, Laporte, IN 46350-5533 Ph: (219) 324-1700 |
Christopher Lawton Frentz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1950 | |
Triune Home Health Partners Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 Andrew Avenue, Laporte, IN 46350 Phone: 219-548-4663 Fax: 219-477-5920 | |
Mr. Rommel Panaligan Arevalo, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1700 | |
Denise R. Johnson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 1st St, Laporte, IN 46350 Phone: 219-325-0632 Fax: 219-326-7611 | |
Ms. Amy Sue Schmidt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 I St, Laporte, IN 46350 Phone: 219-324-1700 |