Great Lakes Physical Therapy is a
Speech-language Pathologist based in Spirit Lake, Iowa. Great Lakes Physical Therapy is licensed to practice in Iowa (license number 002082) and their current practice location is
3301 Bergquist Ave, Spirit Lake, Iowa. It can be reached at their office (for appointments etc.) via phone at
(712) 336-3500.
NPI number for Great Lakes Physical Therapy is 1033407507 and their current mailing address is 3301 Bergquist Ave, Spirit Lake, Iowa. Great Lakes Physical Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1033407507.
Healthcare Provider's Profile
Full Name | Great Lakes Physical Therapy |
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Type | Facility |
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Speciality | Speech-language Pathologist |
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Location | 3301 Bergquist Ave, Spirit Lake, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033407507
- Provider Enumeration Date: 07/18/2011
- Last Update Date: 07/18/2011
Medical Identifiers
Medical identifiers for Great Lakes Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033407507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 002082 (Iowa) | Primary |
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. Great Lakes Physical Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Great Lakes Physical Therapy 3301 Bergquist Ave, Spirit Lake, IA 51360-7679 Ph: (712) 336-3500 | Great Lakes Physical Therapy 3301 Bergquist Ave, Spirit Lake, IA 51360-7679 Ph: (712) 336-3500 |
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