| Erica Foresman, DPT | |
|
1447 E Grand River Ave, Portland, MI 48875-1631 | |
| (517) 647-1000 | |
| Not Available |
| Full Name | Erica Foresman |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 1447 E Grand River Ave, Portland, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164002440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501019684 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advent Rehabilitation, Llc | 9537070545 | 64 |
| Provider Name | Advent Rehabilitation, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1780639658 PECOS PAC ID: 9537070545 Enrollment ID: O20210513002139 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Foresman, DPT 1537 Hidden Creek Circle Dr Ne Apt J, Grand Rapids, MI 49505-5485 Ph: () - | Erica Foresman, DPT 1447 E Grand River Ave, Portland, MI 48875-1631 Ph: (517) 647-1000 |
Mr. Jaya Prakash Boddu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1447 E Grand River Ave, Health Source Physical Therapy Center,inc., Portland, MI 48875 Phone: 517-647-1000 Fax: 517-647-1100 | |
Lauren Beers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9751 E Grand River Ave Ste 1, Portland, MI 48875 Phone: 517-376-3650 | |
Dr. Jesudian Boddu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1447 E Grand River Ave, Portland, MI 48875 Phone: 517-647-1000 |