| Brianna Porath, DPT | |
|
10020 Professional Center Drive, Hamburg, MI 48139-0799 | |
| (810) 893-7623 | |
| (810) 893-7624 |
| Full Name | Brianna Porath |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 7 Years |
| Location | 10020 Professional Center Drive, Hamburg, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568122711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501019276 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2054 |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| 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: O20191218001701 |
| Mailing Address | Practice Location Address |
|---|---|
| Brianna Porath, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Brianna Porath, DPT 10020 Professional Center Drive, Hamburg, MI 48139-0799 Ph: (810) 893-7623 |
Heather D'agosta, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10020 Professional Center Drive, Hamburg, MI 48139 Phone: 810-893-7623 Fax: 810-893-7624 | |
Miss Ashlee Gail Wines, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10020 Professional Center Drive, Suite 100, Hamburg, MI 48139 Phone: 810-231-6904 Fax: 810-231-6906 | |
Michigan Rehabilitation Specialists House Calls, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10200 Professional Center Dr., Suite 200, Hamburg, MI 48139 Phone: 810-231-6904 | |
Alyssa Kelsey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10020 Professional Center Dr, Hamburg, MI 48139 Phone: 810-231-6904 | |
Danelle Hale, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10020 Professional Center Drive, Suite 100, Hamburg, MI 48139 Phone: 810-231-6904 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10020 Professional Center Drive, Hamburg, MI 48139 Phone: 810-893-7623 Fax: 810-893-7624 |