| Team Rehabilitation Ty2, Llc | |
|
2221 Livernois Rd Ste 103, Troy, MI 48083-1603 | |
| (248) 988-4410 | |
| Not Available |
| Full Name | Team Rehabilitation Ty2, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2221 Livernois Rd Ste 103, Troy, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619507878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kelsey R Boltwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841603420 PECOS PAC ID: 4385861616 Enrollment ID: I20140811001974 |
| Provider Name | Clare J Clor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497874432 PECOS PAC ID: 8820314495 Enrollment ID: I20150226001702 |
| Provider Name | Katherine Wells |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700385531 PECOS PAC ID: 1759642663 Enrollment ID: I20180309000282 |
| Provider Name | Kimlee Ung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699267468 PECOS PAC ID: 5193070548 Enrollment ID: I20180626002207 |
| Provider Name | Mario Suarez-manjarres |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033707005 PECOS PAC ID: 6901210657 Enrollment ID: I20210121000292 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation Ty2, Llc 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644 | Team Rehabilitation Ty2, Llc 2221 Livernois Rd Ste 103, Troy, MI 48083-1603 Ph: (248) 988-4410 |
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 |