Mrs Maighdlin A Ponder, PT | |
28 Conservatory Dr. Ste A, Barberton, OH 44203 | |
(330) 615-5000 | |
(330) 848-3982 |
Full Name | Mrs Maighdlin A Ponder |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 28 Conservatory Dr. Ste A, Barberton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770736308 | NPI | - | NPPES |
1510177 | Medicaid | TN | |
4208823 | Other | TN | BLUECROSS BLUESHEILD |
P00746747 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 8216 (Tennessee) | Secondary |
225100000X | Physical Therapist | 021585 (Ohio) | Primary |
Provider Name | Lakeshore Bone & Joint Institute, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508853953 PECOS PAC ID: 3173500519 Enrollment ID: O20040702000362 |
Mailing Address | Practice Location Address |
---|---|
Mrs Maighdlin A Ponder, PT 155 5th St. Ne, Barberton, OH 44203 Ph: (865) 512-1140 | Mrs Maighdlin A Ponder, PT 28 Conservatory Dr. Ste A, Barberton, OH 44203 Ph: (330) 615-5000 |
Jeremy Curtis Oller, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 129 5th St Se, Barberton, OH 44203 Phone: 330-631-0010 Fax: 330-631-0011 | |
Kristin Marie Callard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 5th St Se, #7, Barberton, OH 44203 Phone: 330-753-7400 | |
Jonathan Lewis Flower, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 129 5th St Se, Barberton, OH 44203 Phone: 330-631-0010 Fax: 330-631-0011 | |
Kayla Mclelland, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 129 5th St Se, Barberton, OH 44203 Phone: 330-631-0010 Fax: 330-631-0011 | |
Heidi Teruya-wirth, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 5th Street N.e., Barberton, OH 44203 Phone: 330-615-3377 | |
Greg Matthew Schimmoeller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 Conservatory Dr, Suite A, Barberton, OH 44203 Phone: 330-615-5000 | |
Rachel Marie Neuenschwander, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 129 5th St Se, Barberton, OH 44203 Phone: 330-631-0010 Fax: 330-631-0011 |