Dr Kory David Tieman, PT, DPT | |
1111 Trinity Ln, Bloomington, IL 61704-8111 | |
(309) 663-6567 | |
Not Available |
Full Name | Dr Kory David Tieman |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 1111 Trinity Ln, Bloomington, Illinois |
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 |
---|---|---|---|
1376168005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
City Center Rehabilitation West - Inc. | 6901963164 | 3 |
Provider Name | City Center Rehabilitation West - Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396981742 PECOS PAC ID: 6901963164 Enrollment ID: O20090316000501 |
Provider Name | Carle West Physician Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
---|---|
Dr Kory David Tieman, PT, DPT 52 Parkshores Dr, Bloomington, IL 61701-1439 Ph: (815) 830-4048 | Dr Kory David Tieman, PT, DPT 1111 Trinity Ln, Bloomington, IL 61704-8111 Ph: (309) 663-6567 |
Ms. Mary Claire Biles, PT, MDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3420 Fax: 309-664-3422 | |
Mrs. Patricia O'meara, MPT, NDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3420 Fax: 309-664-3422 | |
Edward Ericksen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-663-6461 | |
Christopher Scot Byers, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 135 N Williamsburg Dr, Bloomington, IL 61704 Phone: 309-661-8823 | |
Ms. Gretchen Dean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 217-326-2911 Fax: 217-344-8047 | |
Dr. Alissa Recker, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln, Suite 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-661-8107 | |
Ms. Abby L Curtis, PT, MS, CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Trinity Lane, Suite 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-661-8107 |