Blake Ponist, OT | |
10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | |
(317) 808-7000 | |
(317) 808-7001 |
Full Name | Blake Ponist |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 6 Years |
Location | 10940 E U S Highway 36, Avon, Indiana |
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 |
---|---|---|---|
1932675766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 31006729A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1957 |
Provider Name | Accelerated Rehabilitation Centers Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040416000404 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20110309000231 |
Mailing Address | Practice Location Address |
---|---|
Blake Ponist, OT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6250 | Blake Ponist, OT 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 Ph: (317) 808-7000 |
Miss Vicki Lynn Eklof, MS, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 445 S County Road 525 E, Avon, IN 46123 Phone: 317-745-1390 Fax: 317-745-2991 | |
Rachel Marie Kilbourne, MOT, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5250 E Us Highway 36 Ste 630, Avon, IN 46123 Phone: 317-815-5501 | |
Allison Lynn Durrett, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6748 E Us Highway 36, Avon, IN 46123 Phone: 317-825-8326 | |
Keely Lynn Mulcahy, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6808 Juliet Dr, Avon, IN 46123 Phone: 317-272-3578 | |
Mrs. Wendy Nicole Walker, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 445 S County Road 525 E, Avon, IN 46123 Phone: 317-745-1390 | |
Ms. Melissa Barrick, MS, OT/R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4171 Forest Point Cir, Avon, IN 46123 Phone: 317-745-5184 | |
Mrs. Jennifer Austin, MS, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 445 S County Road 525 E, Avon, IN 46123 Phone: 317-745-1390 |