Ms Jean Marie Alway, PT | |
23715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-1181 | |
(586) 447-4070 | |
(586) 447-4069 |
Full Name | Ms Jean Marie Alway |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 23715 Little Mack Ave Ste 200, Saint Clair Shores, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598266405 | NPI | - | NPPES |
1932396017 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501003739 (Michigan) | Primary |
Provider Name | Form Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1750844619 PECOS PAC ID: 7517390156 Enrollment ID: O20191212000305 |
Mailing Address | Practice Location Address |
---|---|
Ms Jean Marie Alway, PT 23715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-1181 Ph: (586) 447-4070 | Ms Jean Marie Alway, PT 23715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-1181 Ph: (586) 447-4070 |
Sachin Venkatachalam, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23829 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-773-1300 | |
Carey Ryan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24345 Harper Ave, Saint Clair Shores, MI 48080 Phone: 586-563-3300 Fax: 586-563-3313 | |
Kathi Piepenbrok, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23161 Greater Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-779-8892 Fax: 586-779-2869 | |
Alexis Rushton Motycka, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25311 Little Mack Ave Ste A, Saint Clair Shores, MI 48081 Phone: 586-771-4900 Fax: 586-771-4993 | |
Donna Tavalieri, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19505 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-445-8200 Fax: 586-445-8201 | |
Madhavi Prakash Vachhani, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29150 Harper Ave, Saint Clair Shores, MI 48081 Phone: 586-779-0911 Fax: 586-779-0907 | |
Mrs. Chelsea M Hoffmeyer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-779-7970 Fax: 586-779-7748 |