Parker Mitchell, PT, DPT | |
800 E Locust St, Olney, IL 62450-2553 | |
(618) 395-6031 | |
Not Available |
Full Name | Parker Mitchell |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 800 E Locust St, Olney, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497215289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070021681 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rehabilitation And Performance Institute Psc | 8729379888 | 29 |
Provider Name | Rehabilitation And Performance Institute Psc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679971956 PECOS PAC ID: 8729379888 Enrollment ID: O20161017000029 |
Mailing Address | Practice Location Address |
---|---|
Parker Mitchell, PT, DPT 800 E Locust St, Olney, IL 62450-2553 Ph: (618) 395-6031 | Parker Mitchell, PT, DPT 800 E Locust St, Olney, IL 62450-2553 Ph: (618) 395-6031 |
Mrs. Marti Jo Waggoner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-395-6031 Fax: 618-395-6289 | |
Jonathan Michael Kuenstler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-699-9845 | |
Ann Adams, PT MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 905 E Main St, Olney, IL 62450 Phone: 618-393-7732 Fax: 618-395-3123 | |
Mr. Shannon Duane Blank, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-395-6031 | |
Ladi Stallard, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-395-6031 | |
Kayla Lynn Semple, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-395-6031 Fax: 618-395-6289 |