| Alexander Stavretis, | |
|
10302 Prosperity Cir Ste 101, Camby, IN 46113-9002 | |
| (317) 548-4172 | |
| (317) 548-8308 |
| Full Name | Alexander Stavretis |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 10302 Prosperity Cir Ste 101, Camby, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265121032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 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 |
|---|---|
| Alexander Stavretis, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-4423 | Alexander Stavretis, 10302 Prosperity Cir Ste 101, Camby, IN 46113-9002 Ph: (317) 548-4172 |
Logen K Harris, Physical Therapist Medicare: Medicare Enrolled Practice Location: 10302 Prosperity Cir, Camby, IN 46113 Phone: 317-548-4172 | |
Dr. Bethany Brown, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10701 Alliance Dr Ste D, Camby, IN 46113 Phone: 317-821-3740 Fax: 317-821-3750 | |
Kimberly Shrum, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10799 Alliance Dr, Camby, IN 46113 Phone: 317-855-6123 | |
Sue Ann Klinger, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10701 Alliance Dr, Suite D, Camby, IN 46113 Phone: 317-821-3740 Fax: 317-821-3750 | |
Lisa Jane Hinders, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 10701 Alliance Dr Ste D, Camby, IN 46113 Phone: 317-821-3740 Fax: 317-821-3750 | |
Jewel Kristine Horton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10701 Alliance Dr, Suite D, Camby, IN 46113 Phone: 317-821-3740 Fax: 317-821-3750 |