Samantha Leigh Newell, DPT | |
1447 E Grand River Ave, Portland, MI 48875-1631 | |
(517) 647-1000 | |
Not Available |
Full Name | Samantha Leigh Newell |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1447 E Grand River Ave, Portland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457135634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501302574 (Michigan) | Primary |
Provider Name | Peak Performance Physical Therapy, Plc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134428642 PECOS PAC ID: 2769660521 Enrollment ID: O20110624000600 |
Mailing Address | Practice Location Address |
---|---|
Samantha Leigh Newell, DPT 1018 Pinckney Rd, Saranac, MI 48881-9411 Ph: (616) 897-6366 | Samantha Leigh Newell, DPT 1447 E Grand River Ave, Portland, MI 48875-1631 Ph: (517) 647-1000 |
Mr. Jaya Prakash Boddu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1447 E Grand River Ave, Health Source Physical Therapy Center,inc., Portland, MI 48875 Phone: 517-647-1000 Fax: 517-647-1100 | |
Lauren Beers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9751 E Grand River Ave Ste 1, Portland, MI 48875 Phone: 517-376-3650 | |
Erica Foresman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1447 E Grand River Ave, Portland, MI 48875 Phone: 517-647-1000 | |
Dr. Jesudian Boddu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1447 E Grand River Ave, Portland, MI 48875 Phone: 517-647-1000 |