| Bolivar Physical Therapy Center, Llc | |
|
1028 W Broadway St Ste A, Bolivar, MO 65613-1809 | |
| (417) 777-2888 | |
| (417) 777-4597 |
| Full Name | Bolivar Physical Therapy Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1028 W Broadway St Ste A, Bolivar, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366454191 | NPI | - | NPPES |
| 201276 | Other | MO | BCBS OF MO GROUP ID |
| 487223604 | Medicaid | MO | |
| 505458208 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | William Jansen Vanhoornbeek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538171368 PECOS PAC ID: 5890728885 Enrollment ID: I20050913000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Bolivar Physical Therapy Center, Llc 1028 W Broadway St Ste A, Bolivar, MO 65613-1809 Ph: (417) 777-2888 | Bolivar Physical Therapy Center, Llc 1028 W Broadway St Ste A, Bolivar, MO 65613-1809 Ph: (417) 777-2888 |
Mrs. Sarah Ann Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 E San Martin St, Bolivar, MO 65613 Phone: 417-777-2888 Fax: 417-777-4597 | |
Alan R Hale, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 452 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-3183 Fax: 417-326-3184 | |
Mr. Joshua James Noe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-6000 | |
Mr. Thomas James Sneed, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 E San Martin St, Bolivar, MO 65613 Phone: 417-777-2888 Fax: 417-777-4597 | |
Thomas William Maggard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1155 W Parkview St Ste 2a, Bolivar, MO 65613 Phone: 417-328-6453 | |
Cassie Stephans, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-328-6700 | |
Dr. Landon Cole, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 W Colgate St, Bolivar, MO 65613 Phone: 913-306-5809 |