| Dr Miriam Hazlett, PT, DPT, MBA | |
|
1270 E Powell Rd, Lewis Center, OH 43035-8619 | |
| (614) 981-2065 | |
| Not Available |
| Full Name | Dr Miriam Hazlett |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1270 E Powell Rd, Lewis Center, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073380622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT020651 (Ohio) | Primary |
| Provider Name | Sports Medicine Specialists |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437540069 PECOS PAC ID: 2769792001 Enrollment ID: O20151117001134 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Miriam Hazlett, PT, DPT, MBA 1087 Parkleigh Rd, Columbus, OH 43220-4041 Ph: (812) 470-9176 | Dr Miriam Hazlett, PT, DPT, MBA 1270 E Powell Rd, Lewis Center, OH 43035-8619 Ph: (614) 981-2065 |
Abigail Tidball, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 814 Shanahan Rd Ste 100, Lewis Center, OH 43035 Phone: 937-206-2090 | |
Joseph Marulli Iii, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6515 Pullman Dr, Lewis Center, OH 43035 Phone: 614-688-7140 | |
Jennifer Nicole Van Zandbergen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7840 Graphics Way, Lewis Center, OH 43035 Phone: 740-657-4050 | |
Ravin Pravinkumar Shah, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 320 Brets Ln, Lewis Center, OH 43035 Phone: 734-299-0816 | |
Megan Michelle Pack, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1270 E Powell Rd, Lewis Center, OH 43035 Phone: 614-981-2065 | |
Casey Gould, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1315 Cameron Ave, Lewis Center, OH 43035 Phone: 614-505-3085 Fax: 614-505-3280 |