Mcdonald Physical Therapy | |
1005 N Hickory Rd South Bend IN 46615-3723 | |
(574) 233-5754 | |
(574) 233-7406 |
Full Name | Mcdonald Physical Therapy |
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Speciality | Clinic/Center |
Location | 1005 N Hickory Rd, South Bend, Indiana |
Authorized Official Name and Position | Francis Joseph Mcdonald (PRESIDENT/CEO) |
Authorized Official Contact | 5742335754 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mcdonald Physical Therapy 1005 N Hickory Rd South Bend IN 46615-3723 Ph: (574) 233-5754 | Mcdonald Physical Therapy 1005 N Hickory Rd South Bend IN 46615-3723 Ph: (574) 233-5754 |
NPI Number | 1063419026 |
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Provider Enumeration Date | 07/06/2005 |
Last Update Date | 08/28/2013 |
Medicare PECOS PAC ID | 0446386650 |
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Medicare Enrollment ID | O20130923000155 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063419026 | NPI | - | NPPES |
266690 | Other | IN | MEDICARE PART B- PTAN |
100351040A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 53000037 (Indiana) | Primary |
Provider Name | Francis J Mcdonald |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912903063 PECOS PAC ID: 2163666769 Enrollment ID: I20130923000190 |
Provider Name | Karen L Lemmon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750472916 PECOS PAC ID: 7113161605 Enrollment ID: I20130924000352 |
Provider Name | Michael K Henderson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659463354 PECOS PAC ID: 8022252303 Enrollment ID: I20130926000825 |
Provider Name | Kathryn R Blum |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043599780 PECOS PAC ID: 9638303944 Enrollment ID: I20130927000370 |
Provider Name | Mary M Stoller |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922457274 PECOS PAC ID: 0244527091 Enrollment ID: I20160922001719 |
Provider Name | Jonathan R Cultura |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568974087 PECOS PAC ID: 3476819665 Enrollment ID: I20171103000585 |
Provider Name | Christopher Higgins |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285112771 PECOS PAC ID: 5890044291 Enrollment ID: I20180817002261 |
Provider Name | Francis Joseph Mcdonald |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477062982 PECOS PAC ID: 6002176021 Enrollment ID: I20190627000178 |
Provider Name | Christina S Fancher |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124351184 PECOS PAC ID: 8729416243 Enrollment ID: I20200317000702 |
Provider Name | Drake M Luginbuhl |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124619788 PECOS PAC ID: 7315352176 Enrollment ID: I20210209001958 |
Provider Name | Allison R Ketcham |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144953886 PECOS PAC ID: 7315329190 Enrollment ID: I20220727001600 |
Provider Name | Patrick Morin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982397154 PECOS PAC ID: 0749648574 Enrollment ID: I20230626003135 |
Provider Name | Demias Heard |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356022818 PECOS PAC ID: 9537521117 Enrollment ID: I20230814002675 |
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