| Jack Christopher Burg, | |
|
5577 Monroe St Ste A1, Sylvania, OH 43560-2565 | |
| (419) 318-8104 | |
| (419) 540-9067 |
| Full Name | Jack Christopher Burg |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 5577 Monroe St Ste A1, Sylvania, Ohio |
| 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 |
|---|---|---|---|
| 1104604305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501302987 (Michigan) | Secondary |
| 225100000X | Physical Therapist | PT020177 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Benchmark Physical Therapy Michigan Llc | 4880087766 | 24 |
| Provider Name | Benchmark Physical Therapy Michigan LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629740188 PECOS PAC ID: 4880087766 Enrollment ID: O20220217001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Christopher Burg, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: Not Available | Jack Christopher Burg, 5577 Monroe St Ste A1, Sylvania, OH 43560-2565 Ph: (419) 318-8104 |
Colton Rhinebolt, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4121 King Rd, Sylvania, OH 43560 Phone: 419-517-8200 |
Andrew Graham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6444 Monroe St, Suite B, Sylvania, OH 43560 Phone: 419-824-3434 Fax: 419-824-3435 |
Dr. Bradley Wilt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5855 Monroe St, Sylvania, OH 43560 Phone: 419-276-7130 |
Bruce Sibbersen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5855 Monroe St, Sylvania, OH 43560 Phone: 419-824-7109 |
Kendalyn Marie Noe, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5855 Monroe St, Sylvania, OH 43560 Phone: 567-395-9162 |
Dr. Kelsey Catherine Dyer, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6600 Sylvania Ave Ste 3b, Sylvania, OH 43560 Phone: 419-340-4008 |
Dr. Jeffrey M Kramer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 King Rd, Sylvania, OH 43560 Phone: 419-517-8200 |