Ira Lane Blondheim, PT | |
6971 Eastchase Loop, Montgomery, AL 36117-6876 | |
(334) 721-6500 | |
(334) 721-6501 |
Full Name | Ira Lane Blondheim |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 6971 Eastchase Loop, Montgomery, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982662870 | NPI | - | NPPES |
515-20068 | Other | AL | BCBS NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH3183 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1957 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20110309000231 |
Mailing Address | Practice Location Address |
---|---|
Ira Lane Blondheim, PT 800 Crescent Centre Dr Ste 600, Franklin, TN 37067-7286 Ph: (615) 373-1350 | Ira Lane Blondheim, PT 6971 Eastchase Loop, Montgomery, AL 36117-6876 Ph: (334) 721-6500 |
Mrs. Tonquita Knott Hampton, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 207 Montgomery St Apt 803, Montgomery, AL 36104 Phone: 586-646-0035 | |
Jennifer Turner, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Interstate Park Dr, Suite 324, Montgomery, AL 36109 Phone: 334-272-0313 | |
Laurie Applegate, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 242 Winton M Blount Loop, Montgomery, AL 36117 Phone: 334-279-5015 Fax: 334-279-5028 | |
Benchmark Physical Therapy Of Alabama, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7040 Atlanta Hwy, Montgomery, AL 36117 Phone: 334-721-6500 Fax: 334-721-6501 | |
Therapy South - Carmichael Road Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4142 Carmichael Rd Ste B, Montgomery, AL 36106 Phone: 334-839-5070 | |
Ms. Tiffany B Higginbotham, MSPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 6715 Taylor Ct, Montgomery, AL 36117 Phone: 334-396-2110 Fax: 334-396-2115 | |
Pt Solutions Management, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7057 Halycon Summit Drive, Montgomery, AL 36117 Phone: 334-625-5809 Fax: 334-271-2555 |