| Ithaca Physical Therapy, Inc | |
|
203 Dilts Rd, Ithaca, MI 48847-9475 | |
| (989) 875-2266 | |
| (989) 875-2225 |
| Full Name | Ithaca Physical Therapy, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 203 Dilts Rd, Ithaca, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316321052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501008948 (Michigan) | Primary |
| Provider Name | James R Tilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720007248 PECOS PAC ID: 8820075146 Enrollment ID: I20040706000471 |
| Provider Name | Aaron Arnold Munderloh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821118928 PECOS PAC ID: 5395752554 Enrollment ID: I20060317000114 |
| Provider Name | Joseph Baxter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457731218 PECOS PAC ID: 1850603283 Enrollment ID: I20150629000133 |
| Provider Name | Leslie Skiera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134509953 PECOS PAC ID: 4385956986 Enrollment ID: I20150710001324 |
| Provider Name | Blake Henry Mueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750882312 PECOS PAC ID: 5294125696 Enrollment ID: I20211129001090 |
| Mailing Address | Practice Location Address |
|---|---|
| Ithaca Physical Therapy, Inc 203 Dilts Rd, Ithaca, MI 48847-9475 Ph: (989) 875-2266 | Ithaca Physical Therapy, Inc 203 Dilts Rd, Ithaca, MI 48847-9475 Ph: (989) 875-2266 |
Dr. Ryan Richard Dietlein, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 203 Dilts Rd, Ithaca, MI 48847 Phone: 989-875-2266 Fax: 989-875-2225 | |
Cody Giddings, ATC, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 Dilts Rd, Ithaca, MI 48847 Phone: 989-875-2266 Fax: 989-875-2225 | |
Leslie Skiera, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 203 Dilts Rd, Ithaca, MI 48847 Phone: 989-875-2266 Fax: 989-875-2225 | |
Joseph Alan Baxter, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 203 Dilts Rd, Ithaca, MI 48847 Phone: 989-875-2266 Fax: 989-875-2225 | |
Alex Sean Catlin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 509 E Center St, Ithaca, MI 48847 Phone: 989-875-4193 Fax: 989-875-3807 | |
Mr. James Randolph Tilton Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 203 Dilts Rd, Ithaca, MI 48847 Phone: 989-875-2266 Fax: 989-875-2225 |