| Ross Wilcox, MSPT | |
|
159 W Broadway Ste 200, Salt Lake City, UT 84101-1923 | |
| (866) 839-6979 | |
| Not Available |
| Full Name | Ross Wilcox |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 159 W Broadway Ste 200, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811645682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 342721-2401 (Utah) | Primary |
| Provider Name | Utah Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1437802246 PECOS PAC ID: 4880089275 Enrollment ID: O20220322001637 |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Wilcox, MSPT 7952 S Tilbury Ln, West Jordan, UT 84081-6722 Ph: () - | Ross Wilcox, MSPT 159 W Broadway Ste 200, Salt Lake City, UT 84101-1923 Ph: (866) 839-6979 |
Dr. Craig M Crookston, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Ste 4400, Salt Lake City, UT 84112 Phone: 801-662-4951 Fax: 801-662-4931 | |
Joel Dela Cruz Timbol, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 | |
Eon Jarvis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 | |
Keegan Marie Ryan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-4980 | |
Elizabeth Neilson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256 | |
Eric Glad, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1515 S 1100 E, Salt Lake City, UT 84105 Phone: 801-583-5692 | |
Samantha Dawson Tandy, Dpt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 S Denver St Ste 310, Salt Lake City, UT 84111 Phone: 574-453-8548 |