| Dr Miko Emmanuel Peralta Palad, DPT | |
|
1021 Southgate Dr Apt 7h, Mount Vernon, IL 62864-7203 | |
| (618) 315-8730 | |
| Not Available |
| Full Name | Dr Miko Emmanuel Peralta Palad |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1021 Southgate Dr Apt 7h, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821728817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.022577 (Illinois) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Miko Emmanuel Peralta Palad, DPT 1021 Southgate Dr Apt 7h, Mount Vernon, IL 62864-7203 Ph: (618) 315-8730 | Dr Miko Emmanuel Peralta Palad, DPT 1021 Southgate Dr Apt 7h, Mount Vernon, IL 62864-7203 Ph: (618) 315-8730 |
Mary L. Stedelin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864 Phone: 618-204-5497 Fax: 618-204-5487 | |
Terri S Garrett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864 Phone: 618-204-5497 | |
Mrs. Cheryl Jeanne Uy Rushing, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-241-8595 Fax: 618-241-8759 | |
James M Mulvaney, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1007 S 42nd St, Suite 5, Mount Vernon, IL 62864 Phone: 618-244-1163 Fax: 618-244-1522 | |
Hayden Klockenga, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 | |
Mrs. Susan Christine Portner, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-8887 Fax: 618-244-5537 | |
Mrs. Stephanie Schaubert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 |