| Dr Christopher Michael Ifantiedes, AT, ATC, PT, DPT | |
|
2955 E State St Ste 5, Salem, OH 44460-9307 | |
| (234) 575-0174 | |
| (234) 575-0177 |
| Full Name | Dr Christopher Michael Ifantiedes |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2955 E State St Ste 5, Salem, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871998252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT018660 (Ohio) | Primary |
| Provider Name | Drayer Physical Therapy Northern Ohio Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871919969 PECOS PAC ID: 7315179561 Enrollment ID: O20140422001972 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Michael Ifantiedes, AT, ATC, PT, DPT 1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424 Ph: (423) 541-5492 | Dr Christopher Michael Ifantiedes, AT, ATC, PT, DPT 2955 E State St Ste 5, Salem, OH 44460-9307 Ph: (234) 575-0174 |
Dr. Jesse J Slocum, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 951 W Pine Lake Rd, Salem, OH 44460 Phone: 330-692-0923 | |
Michael Chaffee, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1098 N Ellsworth Ave, Salem, OH 44460 Phone: 234-567-4687 | |
Robert Dana Brooks, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 230 Continental Dr, Salem, OH 44460 Phone: 330-337-8307 | |
Holly L. Murray, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1299 Newgarden Rd, Salem, OH 44460 Phone: 330-337-4883 | |
Excel Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Pershing St, Salem, OH 44460 Phone: 330-424-9033 Fax: 330-424-9053 | |
Kelli Wilkerson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2308 Southeast Blvd, Salem, OH 44460 Phone: 330-332-8488 Fax: 330-332-4441 | |
Justin Perry, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2308 Southeast Blvd, Salem, OH 44460 Phone: 330-332-8488 |