| Fort Dodge Physical Therapy, Llc | |
|
102 N 25th St, Fort Dodge, IA 50501-4338 | |
| (712) 540-8849 | |
| (712) 250-2415 |
| Full Name | Fort Dodge Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 102 N 25th St, Fort Dodge, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982353140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
| Provider Name | Cole W Jarrard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083291546 PECOS PAC ID: 1951789916 Enrollment ID: I20220602001987 |
| Provider Name | Jacob M Cain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346982691 PECOS PAC ID: 9830577899 Enrollment ID: I20220602002061 |
| Provider Name | Taylor A Illg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134858046 PECOS PAC ID: 3971984022 Enrollment ID: I20220720001896 |
| Provider Name | Adriana M Printy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417654716 PECOS PAC ID: 0042685273 Enrollment ID: I20230331000927 |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Dodge Physical Therapy, Llc 102 N 25th St, Fort Dodge, IA 50501-4338 Ph: (712) 540-8849 | Fort Dodge Physical Therapy, Llc 102 N 25th St, Fort Dodge, IA 50501-4338 Ph: (712) 540-8849 |
Susejed Ann Mananquil, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 1st Ave S, Fort Dodge, IA 50501 Phone: 515-955-6922 | |
Alma Suga Castaneda, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 1st Ave S, Suite 200, Fort Dodge, IA 50501 Phone: 515-955-6922 Fax: 515-955-2463 | |
Jacob Michael Cain, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 N 25th St, Fort Dodge, IA 50501 Phone: 712-540-8849 Fax: 712-250-2415 | |
Adriana Printy, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 N 25th St, Fort Dodge, IA 50501 Phone: 515-416-8822 | |
Jocelyn Murilla Garland, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2721 10th Ave N, Fort Dodge, IA 50501 Phone: 515-573-0382 | |
Emmanuel Jr. Dy-liacco Flores, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 1st Ave S, Suite 200, Fort Dodge, IA 50501 Phone: 515-955-6922 Fax: 515-955-2463 | |
Dr. Katelin Renee Wiebersch, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 521 S 14th St, Fort Dodge, IA 50501 Phone: 563-542-0639 |