| Big Blue Canopy Llc | |
|
11230 Cornell Park Dr, Blue Ash, OH 45242-1825 | |
| (513) 880-6800 | |
| Not Available |
| Full Name | Big Blue Canopy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 11230 Cornell Park Dr, Blue Ash, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548820772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Abigail Burton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841629227 PECOS PAC ID: 6002154085 Enrollment ID: I20190218001164 |
| Provider Name | Puja Gaitonde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104180843 PECOS PAC ID: 8325473663 Enrollment ID: I20200115001412 |
| Provider Name | Patricia Wagner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225214083 PECOS PAC ID: 7911332259 Enrollment ID: I20200115001502 |
| Provider Name | Julie Horton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760769350 PECOS PAC ID: 4880029545 Enrollment ID: I20200127002501 |
| Provider Name | Jessica Silverman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649400904 PECOS PAC ID: 1254767494 Enrollment ID: I20200205002928 |
| Provider Name | Rachel Steele |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750989927 PECOS PAC ID: 4183039571 Enrollment ID: I20210217000892 |
| Provider Name | Julie Lawrence |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437492915 PECOS PAC ID: 4880095728 Enrollment ID: I20210629001927 |
| Provider Name | Hannah Bale |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356016851 PECOS PAC ID: 0648677013 Enrollment ID: I20210928001135 |
| Provider Name | Nicole M Latreille |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215444997 PECOS PAC ID: 7810394079 Enrollment ID: I20210930002140 |
| Provider Name | Cara L Millay |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982163663 PECOS PAC ID: 8426421348 Enrollment ID: I20230223002281 |
| Provider Name | Molly S Matthews |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760153951 PECOS PAC ID: 7113389313 Enrollment ID: I20230821002166 |
| Mailing Address | Practice Location Address |
|---|---|
| Big Blue Canopy Llc 11230 Cornell Park Dr, Blue Ash, OH 45242-1825 Ph: (513) 880-6800 | Big Blue Canopy Llc 11230 Cornell Park Dr, Blue Ash, OH 45242-1825 Ph: (513) 880-6800 |
Andrea Robertson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10921 Reed Hartman Hwy, Blue Ash, OH 45242 Phone: 513-984-8070 | |
Puja Gaitonde, Physical Therapist Medicare: Medicare Enrolled Practice Location: 11230 Cornell Park Dr, Blue Ash, OH 45242 Phone: 513-880-6800 | |
Aaron M Smith, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9685 Kenwood Rd, Blue Ash, OH 45242 Phone: 513-745-9877 Fax: 513-745-0966 | |
Elisa Travis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9419 Kenwood Rd, Blue Ash, OH 45242 Phone: 513-792-0777 Fax: 513-792-0061 | |
Daniel Soria, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9525 Kenwood Rd Ste 10a, Blue Ash, OH 45242 Phone: 513-745-9877 Fax: 513-745-0966 | |
Emily Thompson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11305 Reed Hartman Hwy Ste 226, Blue Ash, OH 45241 Phone: 513-563-8777 | |
Jessica Kotsko, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11305 Reed Hartman Hwy Ste 226, Blue Ash, OH 45241 Phone: 513-563-8777 |