Mrs Lori Ann Linville-petrik, PT | |
2585 Miracle Mile, Suite 107, Bullhead City, AZ 86442-7522 | |
(928) 444-8168 | |
(928) 444-8169 |
Full Name | Mrs Lori Ann Linville-petrik |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2585 Miracle Mile, Bullhead City, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518065721 | NPI | - | NPPES |
4214 | Other | AZ | LICENSURE |
1193 | Other | NV | LICENSURE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4214 (Arizona) | Primary |
225100000X | Physical Therapist | 1193 (Nevada) | Secondary |
Provider Name | Paragon Physical Therapy And Rehab Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538694104 PECOS PAC ID: 4284902339 Enrollment ID: O20230807003519 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lori Ann Linville-petrik, PT 2585 Miracle Mile, Suite 107, Bullhead City, AZ 86442-7522 Ph: (928) 444-8168 | Mrs Lori Ann Linville-petrik, PT 2585 Miracle Mile, Suite 107, Bullhead City, AZ 86442-7522 Ph: (928) 444-8168 |
Nicholas Scott Dolezal, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3003 Hway 95 Ste 61, Bullhead City, AZ 86442 Phone: 928-440-6880 | |
Mr. Max Cornia, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2150 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-8700 Fax: 928-763-9795 | |
Maren Dela Cruz Simpson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2150 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-8700 | |
Physical Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1788 Highway 95, #14, Bullhead City, AZ 86442 Phone: 928-758-1007 Fax: 928-758-2544 | |
Mfr Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2585 Miracle Mile Ste 104a, Bullhead City, AZ 86442 Phone: 928-296-6021 | |
Carol Ann Diehl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3003 Highway 95, Suite 61, Bullhead City, AZ 86442 Phone: 928-758-0029 Fax: 928-758-0055 | |
Paragon Healthcare Of Arizona,llc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2585 S Miracle Mile, Suite 107, Bullhead City, AZ 86442 Phone: 928-444-8168 Fax: 928-444-8169 |