Tara Frazer, | |
25755 Telegraph Rd, Brownstown, MI 48134-1013 | |
(734) 782-7003 | |
(734) 782-7005 |
Full Name | Tara Frazer |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 25755 Telegraph Rd, Brownstown, Michigan |
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 |
---|---|---|---|
1396142287 | NPI | - | NPPES |
0P33780 | Other | GROUP PTAN | |
1538198700 | Other | GROUP NPI | |
5501017030 | Other | STATE LICENSE NUMBER | |
P33780004 | Other | IND PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501017030 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Precision Orthopedics Pc | 6406859479 | 4 |
Provider Name | Michigan Sports And Spine Center Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205887262 PECOS PAC ID: 0749243467 Enrollment ID: O20041104000371 |
Provider Name | Precision Orthopedics Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538198700 PECOS PAC ID: 6406859479 Enrollment ID: O20060811000083 |
Mailing Address | Practice Location Address |
---|---|
Tara Frazer, 33900 Harper Ave, Suite 104, Clinton Township, MI 48035-4258 Ph: (586) 416-9100 | Tara Frazer, 25755 Telegraph Rd, Brownstown, MI 48134-1013 Ph: (734) 782-7003 |
Sunshine Therapy Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17732 Clover St, Brownstown, MI 48193 Phone: 734-934-4911 Fax: 313-415-5862 | |
Waqar Ahmed Yazdani, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21708 Adams Dr, Brownstown, MI 48193 Phone: 734-775-9807 Fax: 734-225-6446 | |
Jennifer Stefani, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22650 Sibley Rd, Brownstown, MI 48193 Phone: 734-783-3322 | |
Hafiz Safeerhussain Tahir, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19168 Red Oak Ln, Brownstown, MI 48193 Phone: 313-377-9997 Fax: 248-809-3725 | |
Andrew Medalla, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31868 Tovenia Dr., Brownstown, MI 48173 Phone: 734-236-4381 | |
Mr. Faizan Mirza, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24637 Jennifer Dr, Brownstown, MI 48134 Phone: 734-686-4482 |