| Jacob Brotherton, | |
|
2053 Zumbehl Rd, Saint Charles, MO 63303-2723 | |
| (636) 940-2900 | |
| Not Available |
| Full Name | Jacob Brotherton |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 7 Years |
| Location | 2053 Zumbehl Rd, Saint Charles, Missouri |
| 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 |
|---|---|---|---|
| 1033772900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2019026777 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2054 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Brotherton, 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6250 | Jacob Brotherton, 2053 Zumbehl Rd, Saint Charles, MO 63303-2723 Ph: (636) 940-2900 |
Mrs. Annika Eva Kurtz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3789 New Town Blvd, Saint Charles, MO 63301 Phone: 636-669-2377 | |
Mr. Andrew M Daquila, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1840 Zumbehl Rd, Saint Charles, MO 63303 Phone: 636-947-7678 Fax: 636-947-4350 | |
Paige Alyssa Gutierrez, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1552 Country Club Plaza Dr, Saint Charles, MO 63303 Phone: 636-724-1127 | |
Addison Lockett, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1794 Zumbehl Rd, Saint Charles, MO 63303 Phone: 636-947-1666 | |
Mrs. Shannon M Layton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 1st Capitol Dr, Suite 101, Saint Charles, MO 63301 Phone: 636-947-5467 Fax: 636-949-7084 | |
Mrs. Stacey Kristen Batson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2454 W Clay St, Saint Charles, MO 63301 Phone: 636-949-3926 Fax: 636-949-3928 |