Samantha J Taylor, DPT | |
16760 Lincoln St, Grand Haven, MI 49417-8864 | |
(616) 935-3300 | |
(616) 935-3333 |
Full Name | Samantha J Taylor |
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Gender | Female |
Speciality | Physical Therapist |
Location | 16760 Lincoln St, Grand Haven, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639760846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501019859 (Michigan) | Primary |
Provider Name | Ivyrehab Michigan Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Provider Name | Advent Rehabilitation, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1780639658 PECOS PAC ID: 9537070545 Enrollment ID: O20210513002139 |
Mailing Address | Practice Location Address |
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Samantha J Taylor, DPT 1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258 Ph: (914) 294-4050 | Samantha J Taylor, DPT 16760 Lincoln St, Grand Haven, MI 49417-8864 Ph: (616) 935-3300 |
Leslie Kempers, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17168 Timber View Dr, Grand Haven, MI 49417 Phone: 616-994-2770 | |
Abigail Mayhanagian, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16760 Lincoln St, Grand Haven, MI 49417 Phone: 616-935-3300 Fax: 616-935-3333 | |
Mr. Bhaskar Reddy Poreddy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1615 S Despelder St, Grand Haven, MI 49417 Phone: 616-842-0770 | |
Julie Clark, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14929 Sandstone Pl, Grand Haven, MI 49417 Phone: 231-327-9578 | |
Robert John Mclaren, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6280 | |
Melissa Lynn Lewandowski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6280 | |
Michael T Radomski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17272 Robbins Rd, Suite 102, Grand Haven, MI 49417 Phone: 616-256-8670 Fax: 248-373-7443 |