| Dr Sean Thomas White, DPT, OCS, CMDT, COMT | |
|
169 N 200 E, Columbia City, IN 46725-8895 | |
| (260) 244-5133 | |
| (260) 255-5134 |
| Full Name | Dr Sean Thomas White |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 17 Years |
| Location | 169 N 200 E, Columbia City, Indiana |
| 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 |
|---|---|---|---|
| 1083722268 | NPI | - | NPPES |
| 000000382035 | Other | IN | ANTHEM BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05007643A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peak Performance Orthopedic And Sports Physical Therapy Pc | 6204854086 | 4 |
| Provider Name | Peak Performance Orthopedic & Sports Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205900313 PECOS PAC ID: 6204854086 Enrollment ID: O20051110000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sean Thomas White, DPT, OCS, CMDT, COMT 169 N 200 E, Columbia City, IN 46725-8895 Ph: (260) 244-5133 | Dr Sean Thomas White, DPT, OCS, CMDT, COMT 169 N 200 E, Columbia City, IN 46725-8895 Ph: (260) 244-5133 |
Mrs. Victoria Jean Vinet, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 474 W Plaza Dr, Columbia City, IN 46725 Phone: 260-244-8009 | |
Kristin Lynn Collins, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 169 N 200 E, Columbia City, IN 46725 Phone: 260-244-5133 Fax: 260-244-5134 | |
Andrew James Harry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 662 Country Side Dr, Suite 105, Columbia City, IN 46725 Phone: 260-244-5133 | |
Mrs. Maria Jolanta Swiatkowska, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1260 East State Road 205, Parkview Whitley Hospital, Columbia City, IN 46725 Phone: 260-248-9530 | |
Kyle Matter, Physical Therapist Medicare: Medicare Enrolled Practice Location: 474 W Plaza Dr, Columbia City, IN 46725 Phone: 260-244-8009 | |
Justice Montgomery, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 561 N Line St, Columbia City, IN 46725 Phone: 260-702-0400 |