| Nicholas Duplissis, PT, DPT | |
|
945 E Sherman Blvd, Norton Shores, MI 49444-1805 | |
| (231) 737-4374 | |
| Not Available |
| Full Name | Nicholas Duplissis |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 945 E Sherman Blvd, Norton Shores, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619731940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 5501303229 (Michigan) | Primary |
| Entity Name | Ivyrehab Michigan Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Duplissis, PT, DPT 829 Moulton Ave, Muskegon, MI 49445-2919 Ph: (231) 740-4276 | Nicholas Duplissis, PT, DPT 945 E Sherman Blvd, Norton Shores, MI 49444-1805 Ph: (231) 737-4374 |
Dr. Christie Mckinney, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6425 Harvey St, Norton Shores, MI 49444 Phone: 231-798-4866 Fax: 231-798-6939 | |
Dr. Kyle Sproull, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 6425 Harvey St, Norton Shores, MI 49444 Phone: 231-798-4866 Fax: 231-798-6391 |