| Bryan Anthony Forton, | |
|
52461 Butternut Dr, Shelby Township, MI 48316-2947 | |
| (248) 266-5721 | |
| Not Available |
| Full Name | Bryan Anthony Forton |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 7 Years |
| Location | 52461 Butternut Dr, Shelby Township, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407310394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501019050 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942829064 PECOS PAC ID: 2163339722 Enrollment ID: O20200618000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Anthony Forton, Po Box 80143, Rochester, MI 48308-0143 Ph: (586) 295-3383 | Bryan Anthony Forton, 52461 Butternut Dr, Shelby Township, MI 48316-2947 Ph: (248) 266-5721 |
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 49050 Schoenherr Rd Ste 600, Shelby Township, MI 48315 Phone: 586-566-8913 | |
Mr. George C Stephen, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 47824 Agnew Dr, Shelby Township, MI 48315 Phone: 248-396-3569 | |
Rachel Tomaszewski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50920 Van Dyke Ave, Shelby Township, MI 48317 Phone: 586-330-0872 | |
Mr. Robert John Baker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45551 Mound, Shelby Township, MI 48309 Phone: 586-323-9224 Fax: 586-323-9226 | |
Joseph Mandapat, PHYSICAL THERAPY Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45514 Revere Dr, Shelby Township, MI 48315 Phone: 248-990-6095 | |
Roy Stephen Montemayor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46100 Schoenherr Rd, Shelby Township, MI 48315 Phone: 586-566-1100 | |
Alyssa Renee Anton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13350 24 Mile Rd Ste 500, Shelby Township, MI 48315 Phone: 586-997-7780 Fax: 586-997-7781 |