| Jimmy Hwang, OTR/L | |
|
802 E Us Highway 20, Michigan City, IN 46360-7424 | |
| (219) 872-7251 | |
| Not Available |
| Full Name | Jimmy Hwang |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 802 E Us Highway 20, Michigan City, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629616966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.012846 (Illinois) | Secondary |
| 225X00000X | Occupational Therapist | 31006830A (Indiana) | Primary |
| Provider Name | Select Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20230517000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy Hwang, OTR/L 5855 N California Ave, Chicago, IL 60659-3902 Ph: () - | Jimmy Hwang, OTR/L 802 E Us Highway 20, Michigan City, IN 46360-7424 Ph: (219) 872-7251 |
Theresa V Jarvis, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Franciscan Way Ste 400, Michigan City, IN 46360 Phone: 219-878-8200 Fax: 219-878-8331 | |
Emily Michel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4400 E Michigan Blvd, Michigan City, IN 46360 Phone: 219-879-6115 | |
Anna R Salyer, MS, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-210-1652 | |
Courtney Lynn Grounds, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4400 E Michigan Blvd, Michigan City, IN 46360 Phone: 219-879-6115 | |
Jennifer Victoria Remijas, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Franciscan Way Ste 400, Michigan City, IN 46360 Phone: 219-878-8200 Fax: 219-878-8331 | |
Regina Danyel Dicristofaro, MSOTR,L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 802 E Us Highway 20, Michigan City, IN 46360 Phone: 219-872-7251 | |
Mr. Richel Otayde Pedrina, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 802 E Us Highway 20, Michigan City, IN 46360 Phone: 219-861-3121 |