| Diane Gall, DPT | |
|
2312 S Dixon Rd, Suite 250, Kokomo, IN 46902-6401 | |
| (765) 455-2122 | |
| (765) 453-6643 |
| Full Name | Diane Gall |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 18 Years |
| Location | 2312 S Dixon Rd, Kokomo, Indiana |
| 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 |
|---|---|---|---|
| 1679707921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | IN009294 (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Therapy Corp | 8224370242 | 9 |
| Provider Name | Elite Therapy Corp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1235693300 PECOS PAC ID: 8224370242 Enrollment ID: O20190423001980 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Gall, DPT 829 N Dixon Rd, Kokomo, IN 46901-1795 Ph: (765) 455-2122 | Diane Gall, DPT 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902-6401 Ph: (765) 455-2122 |
Jeffrey R Bennett Jr., PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 506 E Southway Blvd, Kokomo, IN 46902 Phone: 765-626-0299 Fax: 765-864-2070 | |
Lauren Batman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2108 E Boulevard, Kokomo, IN 46902 Phone: 765-416-8480 | |
Jennifer L. Ousley, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902 Phone: 765-455-2122 Fax: 765-455-3122 | |
Dewayne M. Ewing, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 613 W Lincoln Rd, Kokomo, IN 46902 Phone: 765-416-6630 Fax: 765-416-6629 | |
Susan R Swales, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902 Phone: 765-455-2122 Fax: 765-453-6643 | |
Jeanne Galia, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2108 E Boulevard, Kokomo, IN 46902 Phone: 765-416-8480 | |
Damitz Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2190 E Markland Ave, Kokomo, IN 46901 Phone: 765-480-4696 |