Mrs Tasha Renee Drake, PT | |
1111 Superior St, Ll, Melrose Park, IL 60160-4138 | |
(708) 938-7408 | |
(708) 938-7955 |
Full Name | Mrs Tasha Renee Drake |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 1111 Superior St, Melrose Park, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194076109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.011252 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dpt Holdings Llc | 4688679293 | 176 |
Provider Name | Dpt Holdings Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689648602 PECOS PAC ID: 4688679293 Enrollment ID: O20061003000259 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tasha Renee Drake, PT 1225 W Lake St, Outpatient Physical Therapy, Melrose Park, IL 60160-4039 Ph: (708) 938-7262 | Mrs Tasha Renee Drake, PT 1111 Superior St, Ll, Melrose Park, IL 60160-4138 Ph: (708) 938-7408 |
Mr. Jared Gibb, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1440 W North Ave, Suite 202, Melrose Park, IL 60160 Phone: 708-865-8600 Fax: 708-865-8661 | |
Janet Tweed, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 W Lake St, Melrose Park, IL 60160 Phone: 708-681-3000 | |
Giancarlo Bonifazi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1360 Winston Plz, Melrose Park, IL 60160 Phone: 708-483-0072 Fax: 708-551-3982 | |
Christine Garcia, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2225 W North Ave Ste I, Melrose Park, IL 60160 Phone: 708-345-8255 | |
Andersen Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1252 Winston Plz, Physical Therapy Dept, Melrose Park, IL 60160 Phone: 708-343-2500 | |
Priscilla Ann John, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 W Lake St, Melrose Park, IL 60160 Phone: 708-681-3000 |