| Innovative Physical Therapy Llc | |
|
502 E 1100 N, Chesterton, IN 46304-9697 | |
| (219) 926-5850 | |
| (219) 250-2072 |
| Full Name | Innovative Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 502 E 1100 N, Chesterton, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578937447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05010042A (Indiana) | Primary |
| Provider Name | Michael Topor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982622239 PECOS PAC ID: 5597842682 Enrollment ID: I20080415000065 |
| Provider Name | Keith A Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972823367 PECOS PAC ID: 1658404793 Enrollment ID: I20100727000271 |
| Provider Name | Elizabeth R Cernetig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598262388 PECOS PAC ID: 2264780261 Enrollment ID: I20180808001053 |
| Provider Name | Jennifer Nicole Racette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114035045 PECOS PAC ID: 3971510652 Enrollment ID: I20190211002786 |
| Provider Name | Lisa C Corsica |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497873152 PECOS PAC ID: 6204175342 Enrollment ID: I20190306003658 |
| Provider Name | Stacy A Fredrickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285077941 PECOS PAC ID: 7113351826 Enrollment ID: I20200103001934 |
| Provider Name | Nathan Daniel Mccormack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760144810 PECOS PAC ID: 3870981988 Enrollment ID: I20211022000166 |
| Provider Name | Kimberlyn Renea Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154042869 PECOS PAC ID: 2769858349 Enrollment ID: I20221024000310 |
| Provider Name | Lauren R Prescott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740975465 PECOS PAC ID: 7618315904 Enrollment ID: I20240405000636 |
| Provider Name | Kathryn Biegel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184441826 PECOS PAC ID: 7810428760 Enrollment ID: I20241002001591 |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Physical Therapy Llc 502 E 1100 N, Chesterton, IN 46304-9697 Ph: (219) 926-5850 | Innovative Physical Therapy Llc 502 E 1100 N, Chesterton, IN 46304-9697 Ph: (219) 926-5850 |
Matthew David Radencic, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1595 S Calumet Rd, Chesterton, IN 46304 Phone: 844-896-0235 Fax: 219-898-4258 | |
Samantha Higgins, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-926-6926 | |
Lauren Evenson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd Ste 3, Chesterton, IN 46304 Phone: 219-983-9675 | |
Jennifer Nicole Racette, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 751 E Porter Ave Ste 2, Chesterton, IN 46304 Phone: 219-926-5850 Fax: 219-250-2072 | |
Amber N Eckert, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd, Chesterton, IN 46304 Phone: 219-983-9675 | |
Laura Wassilak, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd, Suite 3, Chesterton, IN 46304 Phone: 219-983-9675 Fax: 219-983-9681 | |
Daaiyah Brooks, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1595 S Calumet Rd Ste 3, Chesterton, IN 46304 Phone: 219-764-4888 Fax: 219-898-4258 |