Ivyrehab Physical Therapy Pllc - Medicare Physical Therapist in Peru, IN

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Ivyrehab Physical Therapy Pllc is a medicare enrolled "Physical Therapist" provider in Peru, Indiana. Their current practice location is 5 Broadway Plz, Peru, Indiana. You can reach out to their office (for appointments etc.) via phone at (631) 580-5200.

Ivyrehab Physical Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ivyrehab Physical Therapy Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1750764494.

Contact Information

Ivyrehab Physical Therapy Pllc
5 Broadway Plz,
Peru, IN 46970-1052
(631) 580-5200
(631) 580-5222

Map and Direction




Healthcare Provider's Profile

Full NameIvyrehab Physical Therapy Pllc
TypeFacility
SpecialityPhysical Therapist
Location5 Broadway Plz, Peru, Indiana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750764494
  • Provider Enumeration Date: 06/30/2015
  • Last Update Date: 09/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012997638
  • Enrollment ID: O20151211000959

Medical Identifiers

Medical identifiers for Ivyrehab Physical Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750764494NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ivyrehab Physical Therapy Pllc acts as a billing entity for following providers:
Provider NameOmar H Ferrario
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518039874
PECOS PAC ID: 5890788855
Enrollment ID: I20040406000300
Provider NameDavid A Franklin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689692485
PECOS PAC ID: 9335101419
Enrollment ID: I20041101000624
Provider NameVan H Huffine
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1043234982
PECOS PAC ID: 2062306640
Enrollment ID: I20041227000056
Provider NameTravis Lee Sharp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538279898
PECOS PAC ID: 8022048032
Enrollment ID: I20050819000138
Provider NameEric C Deakins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013964998
PECOS PAC ID: 7416980636
Enrollment ID: I20050916000735
Provider NameChristina L Reasoner
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1528166477
PECOS PAC ID: 4981624079
Enrollment ID: I20051205000428
Provider NameArlaina Brown
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487766796
PECOS PAC ID: 6002917283
Enrollment ID: I20070719000091
Provider NameChristena S Wichowsky
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083854889
PECOS PAC ID: 6709943236
Enrollment ID: I20090326000599
Provider NameChristopher Markus
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770511016
PECOS PAC ID: 4587634209
Enrollment ID: I20100506000695
Provider NameTyson C Damitz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629180922
PECOS PAC ID: 7517113723
Enrollment ID: I20120803000191
Provider NameBeth A Risner
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1801138532
PECOS PAC ID: 4981844685
Enrollment ID: I20130701000037
Provider NameScott A Obrien
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295992485
PECOS PAC ID: 1052551645
Enrollment ID: I20130702000337
Provider NameKevin T Sanborn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225385339
PECOS PAC ID: 3577874759
Enrollment ID: I20150615000608
Provider NameLucas Gaspar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417356890
PECOS PAC ID: 9234429200
Enrollment ID: I20160602002258
Provider NameKyle Shaffer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720336894
PECOS PAC ID: 2163708744
Enrollment ID: I20170413002053
Provider NameGino John
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548717010
PECOS PAC ID: 0446505960
Enrollment ID: I20180622002732
Provider NameBrittany Royer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1205310729
PECOS PAC ID: 6103178884
Enrollment ID: I20181008001699
Provider NameAutumn Leann Ringeisen
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1275915456
PECOS PAC ID: 3375877988
Enrollment ID: I20190701001679
Provider NameErin Kay Robinson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770139628
PECOS PAC ID: 2365770500
Enrollment ID: I20190826001432
Provider NameJanelle Golly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215584727
PECOS PAC ID: 3678801677
Enrollment ID: I20190829001643
Provider NamePreston Wagner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861040370
PECOS PAC ID: 7416288063
Enrollment ID: I20191011001207
Provider NameRachel Anne Sturdevant
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245873637
PECOS PAC ID: 9234561796
Enrollment ID: I20191121001749
Provider NameMatthew A Lesniak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659601672
PECOS PAC ID: 4486783321
Enrollment ID: I20200512000865
Provider NameJoshua Patrick James
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447874318
PECOS PAC ID: 9537581442
Enrollment ID: I20200623002122
Provider NameConnor James Hansen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144848342
PECOS PAC ID: 2769806231
Enrollment ID: I20200717000462
Provider NameSteven Louis Konechnik
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831701655
PECOS PAC ID: 1153748751
Enrollment ID: I20200827002174
Provider NameNichole Shiree Coomer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285751149
PECOS PAC ID: 8628496072
Enrollment ID: I20200916001863
Provider NameRachel Louise Smith
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1699380006
PECOS PAC ID: 3971921388
Enrollment ID: I20200917000654
Provider NameChristian Lynn Fox
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1467067025
PECOS PAC ID: 0143649897
Enrollment ID: I20200929002176
Provider NameHeather Johnston
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245843606
PECOS PAC ID: 3375963838
Enrollment ID: I20201021003323
Provider NameEric Thomas Glow
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558336123
PECOS PAC ID: 8921039082
Enrollment ID: I20201119001545
Provider NameRyan Thomas Holladay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144823410
PECOS PAC ID: 9032520143
Enrollment ID: I20201120002094
Provider NameAmy L Cunningham
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1174128466
PECOS PAC ID: 6709297252
Enrollment ID: I20201204001516
Provider NameTaryn Garlington
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124638234
PECOS PAC ID: 2062831852
Enrollment ID: I20201207002771
Provider NameMegan R Dekam
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427612001
PECOS PAC ID: 7719215136
Enrollment ID: I20210312001680
Provider NameKelly E Needler
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1437562220
PECOS PAC ID: 3274941190
Enrollment ID: I20210414001102
Provider NameMonica Jean Parilac
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1669067773
PECOS PAC ID: 7315355112
Enrollment ID: I20210415002039
Provider NameJulie Hesch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518307016
PECOS PAC ID: 6103051693
Enrollment ID: I20210507001610
Provider NameAkram E Ibrahim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164099602
PECOS PAC ID: 6305246455
Enrollment ID: I20210727002406
Provider NameTrisha Mccormack
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073287561
PECOS PAC ID: 5799180204
Enrollment ID: I20210823000225
Provider NameJacob Ledesma
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326648023
PECOS PAC ID: 6901212778
Enrollment ID: I20210823000272
Provider NameMelissa Drapac
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1033415153
PECOS PAC ID: 1951707496
Enrollment ID: I20210908001744
Provider NameAbhishek Gujar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619598513
PECOS PAC ID: 5890193601
Enrollment ID: I20211008001503
Provider NameLydia Raderstorf-leach
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215547955
PECOS PAC ID: 6608274261
Enrollment ID: I20211012001968
Provider NameSamantha M Britton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194480061
PECOS PAC ID: 5991194185
Enrollment ID: I20211109002038
Provider NameKori Hunter
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1780094169
PECOS PAC ID: 0749671733
Enrollment ID: I20211230000766
Provider NameMeagan Abrams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659961381
PECOS PAC ID: 2769896687
Enrollment ID: I20220606002307
Provider NameAnish Paulose
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245607399
PECOS PAC ID: 4082093745
Enrollment ID: I20220627001616
Provider NameCarly Weygandt
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1629725957
PECOS PAC ID: 3375923840
Enrollment ID: I20220630002548
Provider NameJosie Guerrera
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1043986169
PECOS PAC ID: 1759763030
Enrollment ID: I20220803000747
Provider NameAshlee Finicle
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1578139127
PECOS PAC ID: 9739563958
Enrollment ID: I20220907000849
Provider NameDavid I Proctor
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1487198230
PECOS PAC ID: 6002290277
Enrollment ID: I20220907002750
Provider NameKristina Aimone
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1760440002
PECOS PAC ID: 9032594957
Enrollment ID: I20220913003276
Provider NameAdam Hutchison
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285125013
PECOS PAC ID: 9931456332
Enrollment ID: I20221109000229
Provider NameRachel Lesniowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154030492
PECOS PAC ID: 0244608016
Enrollment ID: I20221129001415
Provider NameDenise Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013965607
PECOS PAC ID: 6406226570
Enrollment ID: I20230105002984
Provider NameBrittany Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679299424
PECOS PAC ID: 9739550062
Enrollment ID: I20230125001598
Provider NameJaime E Passaglia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700094737
PECOS PAC ID: 3375641327
Enrollment ID: I20230225000290
Provider NameVictoria Enomoto
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952882755
PECOS PAC ID: 9133592850
Enrollment ID: I20230228002100
Provider NameKatie Bowsher
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1033638101
PECOS PAC ID: 1759755614
Enrollment ID: I20230316002101
Provider NameVictoria Borowski
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1891251963
PECOS PAC ID: 6406220243
Enrollment ID: I20230320000118
Provider NameLauren Batman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023754124
PECOS PAC ID: 3678947413
Enrollment ID: I20230320000162
Provider NameKathryn Roesel
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1043910029
PECOS PAC ID: 9638544711
Enrollment ID: I20230403000777
Provider NameBrittany C Curts
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1427346451
PECOS PAC ID: 2668837683
Enrollment ID: I20230426002935
Provider NameNicole Gilbert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154010916
PECOS PAC ID: 5496110884
Enrollment ID: I20230509001165
Provider NameMegan Johnson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770260473
PECOS PAC ID: 3870954688
Enrollment ID: I20230726002290
Provider NameShayla Friker
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1225744667
PECOS PAC ID: 3779944244
Enrollment ID: I20230731002976
Provider NameCarolyn Engle
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1750067179
PECOS PAC ID: 9931561107
Enrollment ID: I20230821000750
Provider NameJeanne Galia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083499016
PECOS PAC ID: 1850754185
Enrollment ID: I20230901003292
Provider NameTyler Gorman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1811776693
PECOS PAC ID: 4880040336
Enrollment ID: I20231019003282
Provider NameGeanina Mariah Luis
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1942725874
PECOS PAC ID: 6002264314
Enrollment ID: I20231128000664
Provider NameHannah Doubet
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1992575369
PECOS PAC ID: 6507219425
Enrollment ID: I20240126003791
Provider NameMargaret Savage
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1932860962
PECOS PAC ID: 1557704210
Enrollment ID: I20240209000321
Provider NameJames Ethan Maciejewski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770347551
PECOS PAC ID: 4981049798
Enrollment ID: I20240304000761
Provider NameThomas Mauro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790264273
PECOS PAC ID: 5799035283
Enrollment ID: I20240309000682

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivyrehab Physical Therapy Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ivyrehab Physical Therapy Pllc
1311 Mamaroneck Ave Ste 140,
White Plains, NY 10605-5224

Ph: (914) 294-4050		Ivyrehab Physical Therapy Pllc
5 Broadway Plz,
Peru, IN 46970-1052

Ph: (631) 580-5200

Reviews and Comments


Physical Therapist in Peru, IN

Tanya Fondekar,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 275 W 12th St, 4 West, Peru, IN 46970
Phone: 765-475-2160    Fax: 765-475-2164
David Allen Franklin, MSPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 5 Broadway Plz, Peru, IN 46970
Phone: 765-327-2111    Fax: 765-327-2319
Bhavikkumar Shukla,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 275 W 12th St, 4 West, Peru, IN 46970
Phone: 765-475-2160    
Renewal Rehab Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Kitty Hawk, Peru, IN 46970
Phone: 765-689-7305    
Cleotilde Sorgenfrei,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1013 Veachs Ct, Peru, IN 46970
Phone: 765-475-2160    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.