| Athletic Advantage, Inc | |
|
8849 Whitney Dr, Lewis Center, OH 43035-7107 | |
| (740) 549-7041 | |
| Not Available |
| Full Name | Athletic Advantage, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 8849 Whitney Dr, Lewis Center, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336341973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
| Provider Name | Mark A Read |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326034299 PECOS PAC ID: 5496718900 Enrollment ID: I20041117000091 |
| Provider Name | Bethany Lynn Everson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700401940 PECOS PAC ID: 9739501792 Enrollment ID: I20200619001255 |
| Mailing Address | Practice Location Address |
|---|---|
| Athletic Advantage, Inc 8849 Whitney Dr, Lewis Center, OH 43035-7107 Ph: (740) 549-7041 | Athletic Advantage, Inc 8849 Whitney Dr, Lewis Center, OH 43035-7107 Ph: (740) 549-7041 |
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 | |
Jennifer Nicole Van Zandbergen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7840 Graphics Way, Lewis Center, OH 43035 Phone: 740-657-4050 | |
Dr. Miriam Hazlett, PT, DPT, MBA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1270 E Powell Rd, Lewis Center, OH 43035 Phone: 614-981-2065 | |
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 | |
Jane Harrison, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7840 Graphics Way, Lewis Center, OH 43035 Phone: 740-657-4050 |