| Edward Velasco, | |
|
400 North St W, Tawas City, MI 48763-9161 | |
| (989) 362-8647 | |
| Not Available |
| Full Name | Edward Velasco |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 400 North St W, Tawas City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750712840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3501011383 (Michigan) | Primary |
| Provider Name | Peak Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1629831219 PECOS PAC ID: 5799122032 Enrollment ID: O20240322001452 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Velasco, 4630 Mcnichol Ave, Oscoda, MI 48750-1512 Ph: (989) 739-3722 | Edward Velasco, 400 North St W, Tawas City, MI 48763-9161 Ph: (989) 362-8647 |
Abigail Lynn Boensch, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 540 W Lake St Ste 3, Tawas City, MI 48763 Phone: 989-984-6075 | |
Courtney Siwek, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 W Lake St Ste 3, Tawas City, MI 48763 Phone: 989-984-6075 | |
Alyssa Mary Peters, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Beech Street, Tawas City, MI 48763 Phone: 989-362-0195 Fax: 989-362-9208 | |
Jennifer Lynne Look, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 540 W Lake St Ste 3, Tawas City, MI 48763 Phone: 989-984-6075 | |
Feliwelyn Matalines Abis Shuart, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Beech St Ste A, Tawas City, MI 48763 Phone: 989-362-0197 Fax: 989-362-9208 | |
Jesse Siwek, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 W Lake St Ste 3, Tawas City, MI 48763 Phone: 989-984-6075 Fax: 989-305-6038 | |
Dr. Jill Mccoy, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 540 W Lake St Ste 3, Tawas City, MI 48763 Phone: 989-984-6075 |