Mr Udaykanth Thumma, | |
5604 Woodshire Dr, Apt # 3, Fort Wayne, IN 46835-2968 | |
(260) 444-7529 | |
Not Available |
Full Name | Mr Udaykanth Thumma |
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Gender | Male |
Speciality | Physical Therapist |
Location | 5604 Woodshire Dr, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043555881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05009773A (Indiana) | Primary |
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20180926000250 |
Mailing Address | Practice Location Address |
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Mr Udaykanth Thumma, 5604 Woodshire Dr, Apt # 3, Fort Wayne, IN 46835 Ph: () - | Mr Udaykanth Thumma, 5604 Woodshire Dr, Apt # 3, Fort Wayne, IN 46835-2968 Ph: (260) 444-7529 |
Mrs. Dawn Rochner Lang, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2237 Engle Rd, Fort Wayne, IN 46809 Phone: 260-747-2353 | |
Tia Schrader, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4251 Lahmeyer Rd, Fort Wayne, IN 46815 Phone: 260-432-4700 | |
Mr. Todd Michael Sullivan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7930 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-5800 Fax: 260-432-9555 | |
Deborah Guebard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3320 N Clinton St, Fort Wayne, IN 46805 Phone: 260-483-2100 | |
Mr. David L Kuhn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809 Phone: 260-478-5230 Fax: 260-478-5235 | |
Ms. Andrea Jantson Smith, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845 Phone: 260-266-7400 Fax: 260-266-7439 | |
Elaine Coleman Prouty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9426 Lima Rd, Fort Wayne, IN 46818 Phone: 260-497-0328 |