| Nicole Suzanne Morilak, PT, DPT | |
|
16455 E Avenue Of The Fountains, Fountain Hills, AZ 85268-8307 | |
| (480) 837-2023 | |
| Not Available |
| Full Name | Nicole Suzanne Morilak |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 16455 E Avenue Of The Fountains, Fountain Hills, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417715376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | LPT-009117 (Arizona) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568079796 PECOS PAC ID: 2365359932 Enrollment ID: O20120227000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Suzanne Morilak, PT, DPT 8501 E Virginia Ave, Scottsdale, AZ 85257-1823 Ph: (210) 844-4319 | Nicole Suzanne Morilak, PT, DPT 16455 E Avenue Of The Fountains, Fountain Hills, AZ 85268-8307 Ph: (480) 837-2023 |
Pauline A Mahoney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16838 E Palisades Blvd Ste B121, Fountain Hills, AZ 85268 Phone: 480-837-2595 Fax: 480-837-2773 | |
Jamie May Kuettel, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17307 E Baca Dr, Fountain Hills, AZ 85268 Phone: 480-374-3384 | |
Louanne F. Brown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16455 E Avenue Of The Fountains, Fountain Hills, AZ 85268 Phone: 480-836-5000 | |
Jaclyn Levasseur, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16838 E Palisades Blvd Ste B121, Fountain Hills, AZ 85268 Phone: 480-837-2595 Fax: 480-837-2773 | |
Ms. Jessica N. Hontiveros, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16455 E Avenue Of The Fountains, Fountain Hills, Fountain Hills, AZ 85268 Phone: 480-837-2023 Fax: 480-837-2072 | |
Kathleen Dee Hagen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16455 E. Avenue Of The Fountains, Fountain Hills, AZ 85268 Phone: 480-816-5805 Fax: 801-495-5303 | |
Ashley Schallett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16838 E Palisades Blvd Ste B121, Fountain Hills, AZ 85268 Phone: 480-837-2595 Fax: 480-837-2773 |