| Dr Ethan Loftin, DPT | |
|
1311 Gause Blvd, Slidell, LA 70458-3015 | |
| (985) 649-6577 | |
| (985) 649-7615 |
| Full Name | Dr Ethan Loftin |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 1311 Gause Blvd, Slidell, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053142885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 7839 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellness Physical Therapy Of Slidell, Llc | 0840380523 | 2 |
| Entity Name | Wellness Physical Therapy Of Slidell, Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1184810426 PECOS PAC ID: 0840380523 Enrollment ID: O20071218000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan Loftin, DPT 1311 Gause Blvd, Slidell, LA 70458-3015 Ph: (985) 649-6577 | Dr Ethan Loftin, DPT 1311 Gause Blvd, Slidell, LA 70458-3015 Ph: (985) 649-6577 |
Patrick Fitzsimmons, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 105 Medical Center Dr, Slidell, LA 70461 Phone: 985-639-3777 | |
Dr. Marc Alexander Raj, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 105 Medical Center Dr Ste 103, Slidell, LA 70461 Phone: 985-639-3777 Fax: 985-646-5839 | |
Dr. Michael A Braxton, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 105 Medical Center Dr Ste 101, Slidell, LA 70461 Phone: 985-875-2727 Fax: 985-875-2784 | |
Dr. Gollamudi H Reddy I, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2375 Gause Blvd E, Slidell, LA 70461 Phone: 985-781-5600 Fax: 985-781-5601 |