Tina Weaver, PT | |
248 State St Ste 3a, Ellsworth, ME 04605-1850 | |
(207) 667-4278 | |
Not Available |
Full Name | Tina Weaver |
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Gender | Female |
Speciality | Physical Therapist |
Location | 248 State St Ste 3a, Ellsworth, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902512361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT1332 (Maine) | Primary |
Provider Name | Back In Motion Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821165960 PECOS PAC ID: 7416926704 Enrollment ID: O20041004000108 |
Mailing Address | Practice Location Address |
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Tina Weaver, PT 625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395 Ph: () - | Tina Weaver, PT 248 State St Ste 3a, Ellsworth, ME 04605-1850 Ph: (207) 667-4278 |
Kevin Andrew Slowik, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 248 State St Ste 3a, Ellsworth, ME 04605 Phone: 207-667-4278 | |
Mr. Warren W Hughes, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 78 Beechland Road, Ellsworth, ME 04605 Phone: 207-667-4800 Fax: 207-667-5600 | |
Mr. Jonathan Lee Morren, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Union St, Ellsworth, ME 04605 Phone: 207-664-5530 | |
Mrs. Erin Hutchins, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 42 Bucksport Rd, Ellsworth, ME 04605 Phone: 207-667-9036 | |
Ryan Arlene Davis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17 Commerce Park, Ellsworth, ME 04605 Phone: 207-992-4000 Fax: 207-558-3285 | |
Dr. Susan L. Sudak, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 Bangor Rd, Ellsworth, ME 04605 Phone: 207-592-5349 | |
Ernest Dugans Jr., MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 86 Oak St, Ellsworth, ME 04605 Phone: 207-460-6643 |