Mrs Donna D Smith, PT | |
1464 Lincolnway S, Ligonier, IN 46767-9601 | |
(260) 248-9966 | |
(260) 894-3171 |
Full Name | Mrs Donna D Smith |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1464 Lincolnway S, Ligonier, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689080400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05002165A (Indiana) | Primary |
Provider Name | 360 Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932430949 PECOS PAC ID: 1355237645 Enrollment ID: O20040224000822 |
Mailing Address | Practice Location Address |
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Mrs Donna D Smith, PT 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Mrs Donna D Smith, PT 1464 Lincolnway S, Ligonier, IN 46767-9601 Ph: (260) 248-9966 |
April Macdonald, Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 Kingston Cir, Ligonier, IN 46767 Phone: 260-894-7131 | |
Ms. Katrina Buchanan, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1464 Lincolnway S, Ligonier, IN 46767 Phone: 260-248-9966 Fax: 260-894-3171 | |
Ms. Jeanmarie Rorick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1464 Lincolnway S, Ligonier, IN 46767 Phone: 260-248-9966 Fax: 260-894-3171 | |
Ms. Jennifer Ferrell-tester, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1464 Lincolnway S, Ligonier, IN 46767 Phone: 260-248-9662 Fax: 260-894-3171 | |
Matthew Yoder, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1464 Lincolnway S, Ligonier, IN 46767 Phone: 260-248-9966 Fax: 260-894-3171 |