| Ethos Physical Therapy Llc | |
|
44191 Plymouth Oaks Blvd Ste 800, Plymouth, MI 48170-2538 | |
| (734) 463-3007 | |
| Not Available |
| Full Name | Ethos Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 44191 Plymouth Oaks Blvd Ste 800, Plymouth, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225757719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Nicole Mead |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528360849 PECOS PAC ID: 1153504212 Enrollment ID: I20110328000111 |
| Provider Name | Bradley O Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902233000 PECOS PAC ID: 9436387131 Enrollment ID: I20131231001168 |
| Provider Name | Logan James Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215634316 PECOS PAC ID: 8628442415 Enrollment ID: I20230321002486 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos Physical Therapy Llc 44191 Plymouth Oaks Blvd Ste 800, Plymouth, MI 48170-2538 Ph: (734) 463-3007 | Ethos Physical Therapy Llc 44191 Plymouth Oaks Blvd Ste 800, Plymouth, MI 48170-2538 Ph: (734) 463-3007 |
Tyler Donald Bolley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9368 N Lilley Rd, Plymouth, MI 48170 Phone: 734-416-3900 Fax: 734-416-3903 | |
Eric Normand Duquette, Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Joel Hegeman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 W Ann Arbor Trl, Suite 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Emily Jean Soto, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 580 Forest Ave Ste 1b, Plymouth, MI 48170 Phone: 734-673-8545 Fax: 734-545-8135 | |
Dorene Dudek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14300 N Beck Rd, Plymouth, MI 48170 Phone: 248-380-6222 Fax: 248-380-6224 | |
Heather Ngo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Aaron Hinton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 |