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NPI Code Detail

MEDICARE: MCDONALD PHYSICAL THERAPY

MEDICARE: MCDONALD PHYSICAL THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center53000037IN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1266690OTHERINMEDICARE PART B- PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063419026
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCDONALD PHYSICAL THERAPY
Provider Business Mailing Address
First Line : 1005 N HICKORY RD
Second Line :
City : SOUTH BEND
State : IN
Zip : 46615-3723
Country : US
Telephone Number : 574-233-5754
Fax Number : 574-233-7406
Provider Business Practice Location Address
First Line : 1005 N HICKORY RD
Second Line :
City : SOUTH BEND
State : IN
Zip : 46615-3723
Country : US
Telephone Number : 574-233-5754
Fax Number : 574-233-7406
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. FRANCIS JOSEPH MCDONALD
Credential : D.P.T.
Telephone Number : 574-233-5754
Provider Enumeration Date : 07/06/2005
Last Update Date : 08/28/2013

Similar Medicare Providers

1912903063 — MR. FRANCIS J MCDONALD PT
Practice Location Address:
1005 N HICKORY RD
SOUTH BEND, IN
46615-3723
Practice Phone: 574-233-5754
Practice Fax: 574-233-7406
1821095852 — MRS. BARBARA KNUTSON P.T.
Practice Location Address:
1005 N HICKORY RD
SOUTH BEND, IN
46615-3723
Practice Phone: 574-233-5754
Practice Fax:
1235220435 — MRS. ERIN L BAILEY O.T.
Practice Location Address:
1005 N HICKORY RD
SOUTH BEND, IN
46615-3723
Practice Phone: 574-233-5754
Practice Fax: 574-233-7406
1750472916 — KAREN LEMMON P.T..
Practice Location Address:
1005 N HICKORY RD
SOUTH BEND, IN
46615-3723
Practice Phone: 574-233-5754
Practice Fax: 574-233-7406
1659463354 — MR. MICHAEL HENDERSON P.T.
Practice Location Address:
1005 N HICKORY RD
SOUTH BEND, IN
46615-3723
Practice Phone: 574-233-5754
Practice Fax: 574-233-7406
1417040718 — MRS. PAM REDFEARN P.T.
Practice Location Address:
1005 N HICKORY RD
SOUTH BEND, IN
46615-3723
Practice Phone: 574-233-5754
Practice Fax: 574-233-7406

Directions to “MCDONALD PHYSICAL THERAPY ” Practice Location

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