Vandalia Physical Therapy Ltd | |
126 S. 1st St., Vandalia, IL 62471 | |
(618) 283-1634 | |
(618) 283-0423 |
Full Name | Vandalia Physical Therapy Ltd |
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Type | Facility |
Speciality | Physical Therapist |
Location | 126 S. 1st St., Vandalia, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174585384 | NPI | - | NPPES |
058989 | Other | IL | HEALTH ALLIANCE |
331866 | Other | IL | HEALTHLINK |
02621166 | Other | IL | BLUE CROSS BLUE SHIELD |
135204 | Other | IL | GROUP HEALTH PLAN |
371315508 | Other | IL | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Julie M Gordon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952429078 PECOS PAC ID: 2961497987 Enrollment ID: I20040421000190 |
Provider Name | James Christopher Wilhite |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861911760 PECOS PAC ID: 4486020963 Enrollment ID: I20221025002170 |
Provider Name | Mattie Rose Carter |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922684653 PECOS PAC ID: 6002280716 Enrollment ID: I20230321000715 |
Mailing Address | Practice Location Address |
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Vandalia Physical Therapy Ltd 126 S. 1st St., Vandalia, IL 62471 Ph: (618) 283-1634 | Vandalia Physical Therapy Ltd 126 S. 1st St., Vandalia, IL 62471 Ph: (618) 283-1634 |
Miss Melissa Hutchison, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 New York Dr, Vandalia, IL 62471 Phone: 618-283-5545 Fax: 618-283-2951 | |
Michelle Schmitt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 New York Dr, Vandalia, IL 62471 Phone: 618-283-5548 | |
Ms. Beth Hall, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 825 New York Dr, Vandalia, IL 62471 Phone: 618-283-5545 Fax: 618-283-2951 | |
Lara Roberts, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 W Taylor St, Vandalia, IL 62471 Phone: 618-283-5548 | |
Ashley Hadowsky, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 S. First Street, Vandalia, IL 62471 Phone: 618-283-1634 Fax: 618-283-0423 | |
Dr. Mattie Rose Carter, Physical Therapist Medicare: Medicare Enrolled Practice Location: 126 S 1st St, Vandalia, IL 62471 Phone: 618-283-1634 Fax: 618-283-0423 |