Shane Lenhardt, PT, DPT | |
917 N Illinois Route 3, Waterloo, IL 62298-1074 | |
(618) 939-3400 | |
Not Available |
Full Name | Shane Lenhardt |
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Gender | Male |
Speciality | Physical Therapist |
Location | 917 N Illinois Route 3, Waterloo, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073247573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070026656 (Illinois) | Primary |
Provider Name | Summit Physical Therapy Services,llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1588980247 PECOS PAC ID: 4486842325 Enrollment ID: O20101220000778 |
Mailing Address | Practice Location Address |
---|---|
Shane Lenhardt, PT, DPT 14 Victor St, Waterloo, IL 62298-5532 Ph: (618) 340-2561 | Shane Lenhardt, PT, DPT 917 N Illinois Route 3, Waterloo, IL 62298-1074 Ph: (618) 939-3400 |
Ams Speech Therapy, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 E 4th St, Waterloo, IL 62298 Phone: 618-939-7761 Fax: 855-606-6318 | |
Charles Justin Wood, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 509 Hamacher St Ste 101, Waterloo, IL 62298 Phone: 618-939-5555 | |
Kerri Dockins-hall, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 509 Hamacher St, Ste 101, Waterloo, IL 62298 Phone: 618-939-5555 | |
Richard J Saia, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 180 Waterloo Commons Dr Ste 101, Waterloo, IL 62298 Phone: 618-939-5555 Fax: 618-939-3424 | |
Kailey Schoenbeck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 509 Hamacher St Ste 101, Waterloo, IL 62298 Phone: 618-939-5555 Fax: 618-939-3424 | |
Nichole E Friederich, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 509 Hamacher St, Suite 101, Waterloo, IL 62298 Phone: 618-939-5555 Fax: 618-939-3424 |