| Professional Physical Therapy Pc | |
|
31150 Hoover Rd Ste C, Warren, MI 48093-7618 | |
| (586) 268-1929 | |
| (586) 268-1933 |
| Full Name | Professional Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 31150 Hoover Rd Ste C, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710193370 | NPI | - | NPPES |
| 50018892 | Other | MI | HAP |
| 104690994 | Other | MI | MOLINA HMO |
| 104690994 | Medicaid | MI | |
| 650F357800 | Other | MI | BCBSM |
| 204258600 | Other | MI | US DEPT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501005266 (Michigan) | Primary |
| Provider Name | Smita V Ahluwalia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679789283 PECOS PAC ID: 6103734215 Enrollment ID: I20040821000091 |
| Provider Name | Vikas Ahluwalia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740496355 PECOS PAC ID: 1557394624 Enrollment ID: I20050919000323 |
| Provider Name | Rachel Marissa Scott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023699154 PECOS PAC ID: 1052700358 Enrollment ID: I20211217001678 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Physical Therapy Pc 31150 Hoover Rd Ste C, Warren, MI 48093-7618 Ph: (586) 268-1929 | Professional Physical Therapy Pc 31150 Hoover Rd Ste C, Warren, MI 48093-7618 Ph: (586) 268-1929 |
Mrs. Gillian Deyoung, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3665 E 11 Mile Rd, Suite B, Warren, MI 48092 Phone: 586-755-4711 | |
Benoy Kuriakose, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31830 Ryan Rd, Warren, MI 48092 Phone: 586-977-6700 | |
Ms. Adria M. Podlewski, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 29500 Ryan Rd, Suite A, Warren, MI 48092 Phone: 586-574-2425 Fax: 586-574-2443 | |
Mendelson Kornblum Orthopedic Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13488 E 11 Mile Rd, Warren, MI 48089 Phone: 586-439-6243 Fax: 586-439-6240 | |
Miss Anemaecore Abadejos Brodith, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 26000 Hoover Rd Ste 101, Warren, MI 48089 Phone: 586-381-8141 Fax: 586-393-1733 | |
Alma Jankus, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5123 | |
Mr. Jims Thankachan Varghese, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27301 Schoenherr Rd Ste 103, Warren, MI 48088 Phone: 586-393-5768 Fax: 248-282-8416 |