| Stacey Oommen, PT, DPT | |
|
17045 Torrence Ave Unit 300, Lansing, IL 60438-1014 | |
| (708) 418-3580 | |
| (708) 418-3931 |
| Full Name | Stacey Oommen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 17045 Torrence Ave Unit 300, Lansing, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578076436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251N0400X | Physical Therapist - Neurology | 070.023088 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 070.023088 (Illinois) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Provider Name | Illinois Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033755566 PECOS PAC ID: 5193153450 Enrollment ID: O20200319001790 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Oommen, PT, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Stacey Oommen, PT, DPT 17045 Torrence Ave Unit 300, Lansing, IL 60438-1014 Ph: (708) 418-3580 |
Stephanie E Washington, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17045 Torrence Ave, Lansing, IL 60438 Phone: 708-418-3580 Fax: 708-418-3931 | |
Elizabeth Ann Wagner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16819 Torrence Ave, Lansing, IL 60438 Phone: 708-394-5215 Fax: 708-474-3853 | |
Barbara A Danks, Physical Therapist Medicare: Medicare Enrolled Practice Location: 17045 Torrence Ave, Lansing, IL 60438 Phone: 708-418-3580 | |
Mr. Michael Timothy Fitzgerald, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16819 Torrence Ave, Lansing, IL 60438 Phone: 708-394-5215 | |
Justin Wilhoit, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17045 Torrence Ave Unit 300, Lansing, IL 60438 Phone: 708-418-3580 Fax: 708-418-3931 | |
Mrs. Kristine Jaros Robinson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17045 Torrence Ave, Lansing, IL 60438 Phone: 708-418-3580 | |
Ryan Stachorek, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16819 Torrence Ave, Lansing, IL 60438 Phone: 708-394-5215 |