Rae Wilson, PT | |
97 Dover St Ste 200, Avon, IN 46123-7356 | |
(317) 272-1954 | |
Not Available |
Full Name | Rae Wilson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 97 Dover St Ste 200, Avon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881764785 | NPI | - | NPPES |
05007942A | Other | IN | LICENSE# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT0000010223 (Tennessee) | Primary |
Provider Name | Anew Therapy & Wellness Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225792534 PECOS PAC ID: 8123415312 Enrollment ID: O20220418000863 |
Mailing Address | Practice Location Address |
---|---|
Rae Wilson, PT 732 Planters Ridge Dr, Collierville, TN 38017-6181 Ph: (317) 345-8263 | Rae Wilson, PT 97 Dover St Ste 200, Avon, IN 46123-7356 Ph: (317) 272-1954 |
Dr. Audra Danielle O'brien, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2076 Aspen Dr, Avon, IN 46123 Phone: 317-627-1987 Fax: 317-839-9274 | |
Sydney Lady, Physical Therapist Medicare: Medicare Enrolled Practice Location: 10651 E Us Highway 36, Avon, IN 46123 Phone: 317-677-0174 | |
Megan Lafayette, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Satori Pkwy Ste 110, Avon, IN 46123 Phone: 317-272-4186 | |
Mrs. Linda Joyce Pedersen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Ronald Reagan Pkwy, Suite Mg214, Avon, IN 46123 Phone: 317-217-3070 | |
Sara Sermersheim, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9082 E Us Highway 36, Avon, IN 46123 Phone: 317-209-1900 | |
Elizabeth Farmer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Satori Pkwy Ste 110, Avon, IN 46123 Phone: 317-272-4186 | |
Melissa Ferris, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10651 E Us Highway 36, Avon, IN 46123 Phone: 317-677-0174 Fax: 317-209-9372 |