| Riverview Physical Therapy And Rehab,llc | |
|
1702 Water St, Port Huron, MI 48060-4136 | |
| (810) 966-9102 | |
| (810) 966-9104 |
| Full Name | Riverview Physical Therapy And Rehab,llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1702 Water St, Port Huron, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528248036 | NPI | - | NPPES |
| P00311258 | Other | RAILROAD MEDICARE,PT | |
| P00312642 | Other | RAILROAD MEDICARE ,OT, | |
| 48102 | Other | MI | HEALTH PLAN OF MICHIGAN |
| 4863011 | Medicaid | MI | |
| 670G411150 | Other | MI | BCBS OF MICHIGAN FOR OCCUPATIONAL THERAPY |
| 164232 | Other | MI | GREAT LAKES HEATH PLAN |
| 650G411130 | Other | MI | BCBS OF MICHIGAN FOR PHYSICAL THERAPY |
| 080738 | Other | MI | HAP OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501008202 (Michigan) | Primary |
| 225X00000X | Occupational Therapist | 5201003768 (Michigan) | Secondary |
| Provider Name | Hargopal Tekumulla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295810851 PECOS PAC ID: 4688680887 Enrollment ID: I20060227000015 |
| Provider Name | Beth A Henigan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548707953 PECOS PAC ID: 3375826548 Enrollment ID: I20170214000282 |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Physical Therapy And Rehab,llc 1702 Water St, Port Huron, MI 48060-4136 Ph: (810) 966-9102 | Riverview Physical Therapy And Rehab,llc 1702 Water St, Port Huron, MI 48060-4136 Ph: (810) 966-9102 |
Nancy Ann Goodell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1411 3rd St Ste 3, Port Huron, MI 48060 Phone: 586-323-6290 | |
Karen Shelly Uhlman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2601 Electric Ave, Port Huron, MI 48060 Phone: 810-216-1800 Fax: 810-216-1803 | |
Mr. Glowill Pambid, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1411 3rd St, Port Huron, MI 48060 Phone: 800-451-0481 | |
Kurt Brinker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
Anna Christine Sparling-jamison, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 415 Quay St, Port Huron, MI 48060 Phone: 810-334-6517 | |
Sandra Payne, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-985-8653 | |
Mrs. Laura Ann Kinsley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 940 River Centre Dr, Port Huron, MI 48060 Phone: 810-985-4900 Fax: 810-985-3634 |