| Trevissa Martis, | |
|
4735 Willow Springs Rd, La Grange, IL 60525-6130 | |
| (708) 352-6900 | |
| Not Available |
| Full Name | Trevissa Martis |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4735 Willow Springs Rd, La Grange, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457703282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.018430 (Illinois) | Primary |
| Provider Name | Paxxon Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063784148 PECOS PAC ID: 8325959554 Enrollment ID: O20120507000412 |
| Provider Name | Impulse Rehab And Wellness Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215598941 PECOS PAC ID: 4688905995 Enrollment ID: O20191016003417 |
| Provider Name | Cortlyn Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1235725730 PECOS PAC ID: 8729495684 Enrollment ID: O20210324000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevissa Martis, 4735 Willow Springs Rd, La Grange, IL 60525-6130 Ph: (708) 352-6900 | Trevissa Martis, 4735 Willow Springs Rd, La Grange, IL 60525-6130 Ph: (708) 352-6900 |
Dan King Therapy Services Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 521 S La Grange Rd, Suite 204-a, La Grange, IL 60525 Phone: 708-482-9788 Fax: 708-482-9789 | |
Samir Khowaja, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-245-7900 | |
Shauna Mcging, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 S 10th Ave, La Grange, IL 60525 Phone: 312-942-5661 | |
Alyssa Marie Serveiss, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-245-7900 | |
Tomasz Drewniak, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 N La Grange Rd Unit 2c, La Grange, IL 60525 Phone: 708-698-5680 Fax: 708-482-7230 | |
Timothy Schmitz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4735 Willow Springs Rd, La Grange, IL 60525 Phone: 708-698-5259 | |
Mr. Mario Kristoffer Olegario, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-245-7900 Fax: 708-245-5690 |