Ultra Physical Therapy Llc is a medicare enrolled "Physical Therapist" provider in Lexington, Illinois. Their current practice location is
429 W Main St Ste A, Lexington, Illinois. You can reach out to their office (for appointments etc.) via phone at
(309) 706-8761.
Ultra Physical Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ultra Physical Therapy Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1134743784.
Healthcare Provider's Profile
Full Name | Ultra Physical Therapy Llc |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 429 W Main St Ste A, Lexington, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134743784
- Provider Enumeration Date: 05/29/2020
- Last Update Date: 09/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 3971915026
- Enrollment ID: O20201214001120
Medical Identifiers
Medical identifiers for Ultra Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134743784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ultra Physical Therapy Llc acts as a billing entity for following providers:
Provider Name | Joshua J Smith |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1598704017 PECOS PAC ID: 6406952167 Enrollment ID: I20070426000436 |
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Provider Name | Arianna Medema |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1932698297 PECOS PAC ID: 8426309089 Enrollment ID: I20180920000284 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ultra Physical Therapy Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ultra Physical Therapy Llc 429 W Main St Ste B, Lexington, IL 61753-1258 Ph: (309) 706-8761 | Ultra Physical Therapy Llc 429 W Main St Ste A, Lexington, IL 61753-1258 Ph: (309) 706-8761 |
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