| Midwest Pcw Pt, Llc | |
|
849 S Route 51, Forsyth, IL 62535-8807 | |
| (217) 864-2085 | |
| (217) 864-2324 |
| Full Name | Midwest Pcw Pt, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 849 S Route 51, Forsyth, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275931156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kelli A Bryant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912952649 PECOS PAC ID: 3779641352 Enrollment ID: I20081027000214 |
| Provider Name | Kevin P Ryan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326341645 PECOS PAC ID: 9335322445 Enrollment ID: I20110328000577 |
| Provider Name | Dylan E Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124330147 PECOS PAC ID: 0941450993 Enrollment ID: I20121029000131 |
| Provider Name | Jason T Grandone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982603502 PECOS PAC ID: 7517136823 Enrollment ID: I20130809000409 |
| Provider Name | Chad Hatayama |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639424203 PECOS PAC ID: 1759605462 Enrollment ID: I20150305002268 |
| Provider Name | Michelle Marquis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629329941 PECOS PAC ID: 1052614609 Enrollment ID: I20160114002688 |
| Provider Name | Ashley Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164988184 PECOS PAC ID: 5395084339 Enrollment ID: I20190308001255 |
| Provider Name | Keith Franklin Bumgardner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598289142 PECOS PAC ID: 1153845136 Enrollment ID: I20250411001109 |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Pcw Pt, Llc 15 Apex Dr, Highland, IL 62249-1282 Ph: () - | Midwest Pcw Pt, Llc 849 S Route 51, Forsyth, IL 62535-8807 Ph: (217) 864-2085 |
Ashley Phillips, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 849 S Route 51 Ste D, Forsyth, IL 62535 Phone: 217-872-2244 Fax: 866-394-6713 | |
Keith Franklin Bumgardner Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 849 S Route 51 Ste D, Forsyth, IL 62535 Phone: 217-872-2244 | |
Krishna Vaghasia, Physical Therapist Medicare: Medicare Enrolled Practice Location: 565 W Marion Ave, Forsyth, IL 62535 Phone: 217-876-9268 |