| Richard Garrison, | |
|
6058 Whitestown Pkwy, Whitestown, IN 46075-7616 | |
| (317) 769-1082 | |
| Not Available |
| Full Name | Richard Garrison |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6058 Whitestown Pkwy, Whitestown, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508681818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05015813A (Indiana) | Primary |
| Provider Name | Advanced Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1316940505 PECOS PAC ID: 6002959525 Enrollment ID: O20111006000030 |
| Provider Name | Creative Health Care Management Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Garrison, 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: (866) 370-8206 | Richard Garrison, 6058 Whitestown Pkwy, Whitestown, IN 46075-7616 Ph: (317) 769-1082 |
Amelia Lynn Dick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5829 New Hope Blvd, Whitestown, IN 46075 Phone: 463-946-4323 | |
Sachin Philip, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6058 Whitestown Pkwy, Whitestown, IN 46075 Phone: 317-769-1082 |