Nicole Kidd, DPT | |
2265 Livernois, Suite 700, Troy, MI 48083-1639 | |
(248) 269-0230 | |
(248) 269-0231 |
Full Name | Nicole Kidd |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 19 Years |
Location | 2265 Livernois, Troy, Michigan |
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 |
---|---|---|---|
1730283722 | NPI | - | NPPES |
650F396820 | Other | MI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | L929736 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Institute For Human Performance Inc | 3779534169 | 2 |
Provider Name | Michigan Institute For Human Performance Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023115201 PECOS PAC ID: 3779534169 Enrollment ID: O20050202000912 |
Mailing Address | Practice Location Address |
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Nicole Kidd, DPT 2265 Livernois, Suite 700, Troy, MI 48083-1639 Ph: (248) 269-0230 | Nicole Kidd, DPT 2265 Livernois, Suite 700, Troy, MI 48083-1639 Ph: (248) 269-0230 |
Pamela Brioso Gonzales-lanac, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Beaumont Hospital-troy, 44201 Dequindre Rd Ste 203a, Troy, MI 48085 Phone: 248-964-4014 | |
Lana Spomer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1950 E Wattles Rd, Ste 108, Troy, MI 48085 Phone: 586-323-2957 | |
Mayank Shah, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3250 W Big Beaver Rd, Suite 304, Troy, MI 48084 Phone: 317-453-0430 | |
Purvi D Shah, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1663 Stephenson Hwy, Troy, MI 48083 Phone: 248-327-6619 Fax: 248-327-6628 | |
Amy Feyer Bodway, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4841 Danbury Dr, Troy, MI 48085 Phone: 248-302-4242 | |
Lauren Dysarz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2221 Livernois Rd Ste 103, Troy, MI 48083 Phone: 248-988-4410 Fax: 248-988-4411 | |
Michigan Institute For Human Performance Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2265 Livernois Rd, Suite 700, Troy, MI 48083 Phone: 248-269-0230 Fax: 248-269-0231 |