Richard Medina, PT | |
1715 Bradford Ln Ste 140, Normal, IL 61761-4177 | |
(309) 888-4828 | |
(309) 888-4930 |
Full Name | Richard Medina |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 1715 Bradford Ln Ste 140, Normal, 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 |
---|---|---|---|
1982218384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070025367 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Accelerated Rehabilitation Centers Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040224000455 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Mailing Address | Practice Location Address |
---|---|
Richard Medina, PT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980 | Richard Medina, PT 1715 Bradford Ln Ste 140, Normal, IL 61761-4177 Ph: (309) 888-4828 |
Tyler Curtis Bishop, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1715 Bradford Ln Ste 140, Normal, IL 61761 Phone: 309-888-4828 | |
Samuel Cross, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd Ste 230, Normal, IL 61761 Phone: 309-661-6260 | |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1715 Bradford Ln, Ste 140, Normal, IL 61761 Phone: 309-888-4828 Fax: 309-888-4930 | |
Jennifer Renee Webb, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Landmark Dr Ste E3, Normal, IL 61761 Phone: 309-663-4900 Fax: 309-663-4197 | |
Cara Mae Cazier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Landmark Dr Ste E3, Normal, IL 61761 Phone: 309-663-4900 | |
Ms. Cheryl Denise Burr, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Fort Jesse Road, Suite 250, Normal, IL 61761 Phone: 309-454-1616 Fax: 309-454-5167 | |
Rachel Charlotte Corrigan, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Landmark Dr Ste E3, Normal, IL 61761 Phone: 309-663-4900 Fax: 309-663-4197 |