| Drew Mullenix, | |
|
602 S Neil St, Champaign, IL 61820-5475 | |
| (217) 649-0504 | |
| Not Available |
| Full Name | Drew Mullenix |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 602 S Neil St, Champaign, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487499687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ipt Management Services, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1063868206 PECOS PAC ID: 1850680935 Enrollment ID: O20160512000932 |
| Provider Name | Impact Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1508622614 PECOS PAC ID: 2466998398 Enrollment ID: O20240726001923 |
| Mailing Address | Practice Location Address |
|---|---|
| Drew Mullenix, 602 S Neil St, Champaign, IL 61820-5475 Ph: () - | Drew Mullenix, 602 S Neil St, Champaign, IL 61820-5475 Ph: (217) 649-0504 |
Mrs. Angela J Cusick, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3101 Fields South Dr, Champaign, IL 61822 Phone: 217-366-1323 | |
Jasmine A Evans, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1323 | |
Blake P Doane, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-398-9800 Fax: 217-366-0037 | |
Keith A Sternhagen, PT, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-356-6543 Fax: 217-356-8010 | |
Benjamin Kim, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-398-9800 Fax: 217-366-0036 | |
Whitney A Walker, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2403 Village Green Pl, Champaign, IL 61822 Phone: 217-359-4549 Fax: 217-359-4620 | |
Mateusz Wesolowski, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 602 S Neil St, Champaign, IL 61820 Phone: 217-649-0504 Fax: 217-253-8511 |