Tyson A Goken, PT | |
38 S Main St Ste Aandb, Sugar Grove, IL 60554-5031 | |
(631) 466-5866 | |
(631) 466-5869 |
Full Name | Tyson A Goken |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 38 S Main St Ste Aandb, Sugar Grove, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538447941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070018662 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Physical Therapy Pllc | 7012997638 | 298 |
Provider Name | Ivyrehab Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1376917187 PECOS PAC ID: 7012997638 Enrollment ID: O20160304000277 |
Mailing Address | Practice Location Address |
---|---|
Tyson A Goken, PT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Tyson A Goken, PT 38 S Main St Ste Aandb, Sugar Grove, IL 60554-5031 Ph: (631) 466-5866 |
Emily Voirin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 42 Walnut Cir, Sugar Grove, IL 60554 Phone: 630-800-5878 | |
James Stubbs, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 330 Division Dr Ste B&e, Sugar Grove, IL 60554 Phone: 630-777-3141 | |
Denise L Bailey, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 38 S Main St, Suites A B, Sugar Grove, IL 60554 Phone: 630-466-5866 Fax: 630-466-5869 | |
Dr. Kimberly L Hicks, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 58 W Park Ave, Sugar Grove, IL 60554 Phone: 847-537-3445 | |
Mrs. Patricia C Megchelsen, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 38 S Main St, Suites A B, Sugar Grove, IL 60554 Phone: 630-466-5866 Fax: 630-466-5869 | |
Sarah Hammer, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 38 S Main St, Suite A And B, Sugar Grove, IL 60554 Phone: 630-466-5866 Fax: 630-466-5869 | |
Lisa R Kuchar, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 38 S Main St, Suites A & B, Sugar Grove, IL 60554 Phone: 630-466-5866 Fax: 630-466-5869 |