| Bethany Shadle, PT | |
|
24400 Highpoint Rd, Suite 10, Beachwood, OH 44122-6054 | |
| (216) 896-0824 | |
| (216) 896-0825 |
| Full Name | Bethany Shadle |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 24400 Highpoint Rd, Beachwood, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780872887 | NPI | - | NPPES |
| P00466045 | Other | NJ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01174500 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | PT013389 (Ohio) | Primary |
| Provider Name | Therasport Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649486515 PECOS PAC ID: 9133199946 Enrollment ID: O20040729000149 |
| Provider Name | Fox Rehabilitation Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20150303000554 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Shadle, PT 24400 Highpoint Rd, Suite 10, Beachwood, OH 44122-6054 Ph: (216) 896-0824 | Bethany Shadle, PT 24400 Highpoint Rd, Suite 10, Beachwood, OH 44122-6054 Ph: (216) 896-0824 |
Miss Rachel Weir Vecchio, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26900 Cedar Rd, Room 124, Beachwood, OH 44122 Phone: 216-378-6240 | |
Margaret Bourguignon, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 23913 Edgehill Dr, Beachwood, OH 44122 Phone: 216-337-6804 | |
Shannon Mary Steele, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27100 Cedar Rd, Beachwood, OH 44122 Phone: 216-831-6500 | |
Jon David Covell, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2000 Auburn Dr Ste 200, Beachwood, OH 44122 Phone: 877-407-3422 Fax: 877-407-4329 | |
Annie Macaine Wilson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27100 Cedar Rd, Beachwood, OH 44122 Phone: 216-831-6500 | |
Tara Pickenpaugh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Auburn Dr Ste 200, Beachwood, OH 44122 Phone: 877-407-3422 Fax: 877-407-4329 | |
Thomas V Rodak, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24755 Chagrin Blvd, Ste 115, Beachwood, OH 44122 Phone: 216-292-5632 Fax: 216-292-7269 |