| Scott Wade, DPT | |
|
75 W Square Lake Rd, Troy, MI 48098-2929 | |
| (248) 688-9010 | |
| (248) 688-9013 |
| Full Name | Scott Wade |
|---|---|
| Gender | Male |
| Speciality | Physical Therapy |
| Experience | 8 Years |
| Location | 75 W Square Lake Rd, Troy, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780104711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501017776 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Team Rehabilitation Services Llc | 2264479518 | 529 |
| Provider Name | Team Rehabilitation Ty, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184995623 PECOS PAC ID: 7517128168 Enrollment ID: O20120409000531 |
| Provider Name | Glacier Hills Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1780924639 PECOS PAC ID: 9537172382 Enrollment ID: O20130906000382 |
| Provider Name | Team Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548932619 PECOS PAC ID: 2264479518 Enrollment ID: O20211027001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Wade, DPT 33900 Harper Ave Ste 104, Clinton Township, MI 48035-4258 Ph: (586) 350-2644 | Scott Wade, DPT 75 W Square Lake Rd, Troy, MI 48098-2929 Ph: (248) 688-9010 |
Pamela Brioso Gonzales-lanac, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Beaumont Hospital-troy, 44201 Dequindre Rd Ste 203a, Troy, MI 48085 Phone: 248-964-4014 | |
Lana Spomer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1950 E Wattles Rd, Ste 108, Troy, MI 48085 Phone: 586-323-2957 | |
Mayank Shah, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3250 W Big Beaver Rd, Suite 304, Troy, MI 48084 Phone: 317-453-0430 | |
Purvi D Shah, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1663 Stephenson Hwy, Troy, MI 48083 Phone: 248-327-6619 Fax: 248-327-6628 | |
Amy Feyer Bodway, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4841 Danbury Dr, Troy, MI 48085 Phone: 248-302-4242 | |
Lauren Dysarz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2221 Livernois Rd Ste 103, Troy, MI 48083 Phone: 248-988-4410 Fax: 248-988-4411 | |
Michigan Institute For Human Performance Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2265 Livernois Rd, Suite 700, Troy, MI 48083 Phone: 248-269-0230 Fax: 248-269-0231 |