Gina Marie Nordstrom, PT | |
67 S Terrace Ave, Newark, OH 43055-1355 | |
(740) 522-3160 | |
(740) 522-3141 |
Full Name | Gina Marie Nordstrom |
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Gender | Female |
Speciality | Physical Therapist |
Location | 67 S Terrace Ave, Newark, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417960311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT009155 (Ohio) | Primary |
Provider Name | Enliven Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386202554 PECOS PAC ID: 1850626375 Enrollment ID: O20190705000167 |
Mailing Address | Practice Location Address |
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Gina Marie Nordstrom, PT 3425 Executive Pkwy, Suite 128, Toledo, OH 43606-1326 Ph: (419) 537-0764 | Gina Marie Nordstrom, PT 67 S Terrace Ave, Newark, OH 43055-1355 Ph: (740) 522-3160 |
Marc Phillip Mccuen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 159 W Main St, Newark, OH 43055 Phone: 740-345-2837 Fax: 740-345-4793 | |
Christine Elizabeth Sadler, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 342 Kells Ct W, Newark, OH 43055 Phone: 614-315-1283 | |
Mrs. Cynthia Lynn Lowery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 W Main St, Newark, OH 43055 Phone: 740-344-9465 | |
Linzie M Conn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 West Main Street, Newark, OH 43055 Phone: 740-345-2837 Fax: 740-345-4793 | |
Paul F Kaple, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 159 West Main Street, Newark, OH 43055 Phone: 740-345-2847 Fax: 740-345-4793 | |
Mr. Joshua David Weber, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Mcmillen Dr, Newark, OH 43055 Phone: 740-344-0357 | |
Kelley T Burian, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1914 Tamarack Rd, Newark, OH 43055 Phone: 740-788-8100 Fax: 740-788-8240 |