Tyler Green, | |
1100 Shawnee Rd, Lima, OH 45805-3529 | |
(419) 999-2010 | |
(419) 999-6284 |
Full Name | Tyler Green |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1100 Shawnee Rd, Lima, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033844196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT019655 (Ohio) | Primary |
Provider Name | Encompass Care, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770107088 PECOS PAC ID: 2062752595 Enrollment ID: O20200724002029 |
Mailing Address | Practice Location Address |
---|---|
Tyler Green, 1100 Shawnee Rd, Lima, OH 45805-3583 Ph: (419) 999-2010 | Tyler Green, 1100 Shawnee Rd, Lima, OH 45805-3529 Ph: (419) 999-2010 |
Danielle Bolin, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2535 Fort Amanda Rd, Lima, OH 45804 Phone: 419-999-2055 | |
Dr. Kyle T Shroll, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 Medical Dr Ste A, Lima, OH 45804 Phone: 419-222-6622 Fax: 419-224-0015 | |
Kristin Doll, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2535 Fort Amanda Rd, Lima, OH 45804 Phone: 419-999-2055 | |
Susan Sheehan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Slabtown Rd, Lima, OH 45801 Phone: 419-222-1836 | |
Back On Track Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 3477 S Dixie Hwy, Lima, OH 45804 Phone: 567-356-4385 Fax: 419-738-8002 | |
Mrs. Amy Little, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 804 S Mumaugh Rd, Lima, OH 45804 Phone: 419-225-9040 Fax: 419-225-9292 |