Sandra Lee Woodworth, DPT, CSCS | |
3691 Willowcreek Rd, Portage, IN 46368-5076 | |
(219) 759-4380 | |
(219) 759-1989 |
Full Name | Sandra Lee Woodworth |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 3691 Willowcreek Rd, Portage, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700197332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 05009054A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeshore Bone And Joint Institute, Inc | 3173500519 | 74 |
Provider Name | Lakeshore Bone & Joint Institute, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508853953 PECOS PAC ID: 3173500519 Enrollment ID: O20040702000362 |
Mailing Address | Practice Location Address |
---|---|
Sandra Lee Woodworth, DPT, CSCS 3691 Willowcreek Rd, Portage, IN 46368-5076 Ph: (219) 759-4380 | Sandra Lee Woodworth, DPT, CSCS 3691 Willowcreek Rd, Portage, IN 46368-5076 Ph: (219) 759-4380 |
Ritchel Amper, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6040 Lute Rd, Portage, IN 46368 Phone: 219-763-6858 Fax: 219-763-4858 | |
Cristina M Soyao, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6040 Lute Rd, Portage, IN 46368 Phone: 219-763-6858 Fax: 219-763-4858 | |
Chester K Pablo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6040 Lute Rd, Portage, IN 46368 Phone: 219-763-6858 Fax: 219-763-4858 | |
Ati Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6459 Us Highway 6, Portage, IN 46368 Phone: 219-762-5592 Fax: 219-762-5664 | |
Miss Tarah Doreen Soon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3467 Peninsula Dr Apt 11, Portage, IN 46368 Phone: 219-880-6223 | |
Amy Brix, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3391 Airport Rd, Portage, IN 46368 Phone: 219-762-0821 | |
Michael Wendahl, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3691 Willowcreek Road, Suite 100, Portage, IN 46368 Phone: 219-759-4380 |