Nichole Shiree Coomer, PT, DPT | |
4411 S Adams St, Marion, IN 46953-5349 | |
(765) 674-4455 | |
(765) 674-3577 |
Full Name | Nichole Shiree Coomer |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 19 Years |
Location | 4411 S Adams St, Marion, Indiana |
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 |
---|---|---|---|
1285751149 | NPI | - | NPPES |
000000385497 | Other | IN | ANTHEM PROVIDER NUMBER |
05008703A | Other | IN | PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05008703A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Physical Therapy Pllc | 7012997638 | 298 |
Provider Name | Ivyrehab Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1750764494 PECOS PAC ID: 7012997638 Enrollment ID: O20151211000959 |
Mailing Address | Practice Location Address |
---|---|
Nichole Shiree Coomer, PT, DPT 4411 S Adams St, Marion, IN 46953-5349 Ph: (765) 674-4455 | Nichole Shiree Coomer, PT, DPT 4411 S Adams St, Marion, IN 46953-5349 Ph: (765) 674-4455 |
Dr. Connie Jean Crump, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4201 S Washington St, Marion, IN 46953 Phone: 765-677-1598 | |
Audra Mae Stoll, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 N Wabash Rd, Marion, IN 46952 Phone: 765-651-3221 | |
Nichole Reanne Reaver, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 822 N Baldwin Ave, Marion, IN 46952 Phone: 765-733-1127 Fax: 765-733-1128 | |
Phillip Vincent Galeon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321 | |
Mrs. Elvira Alexandra Warren, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3105 S Western Ave, Marion, IN 46953 Phone: 765-733-0050 Fax: 765-293-8032 | |
Patricia Rhoades, PT, DPT, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 N Wabash Rd, Ste 202, Marion, IN 46952 Phone: 765-651-3229 | |
Justin Shaffer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 822 N Baldwin Ave, Marion, IN 46952 Phone: 765-733-1127 Fax: 765-733-1128 |