| Jacob Ketch, DPT | |
|
1490 E High St, Waynesburg, PA 15370-9558 | |
| (724) 627-9489 | |
| Not Available |
| Full Name | Jacob Ketch |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1490 E High St, Waynesburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710728092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT6830 (Maine) | Secondary |
| 225100000X | Physical Therapist | PT033425 (Pennsylvania) | Primary |
| Provider Name | Back In Motion Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821165960 PECOS PAC ID: 7416926704 Enrollment ID: O20041004000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Ketch, DPT 4714 Gettysburg Rd, Mechanicsburg, PA 17055-4325 Ph: () - | Jacob Ketch, DPT 1490 E High St, Waynesburg, PA 15370-9558 Ph: (724) 627-9489 |
Brian Coleman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 249 Elm Dr, Waynesburg, PA 15370 Phone: 724-825-9357 | |
John D Kushner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1490 E High St, Waynesburg, PA 15370 Phone: 724-627-9489 Fax: 724-627-9417 | |
Morgan Simkovic, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 265 Elm Dr, Waynesburg, PA 15370 Phone: 724-852-2504 Fax: 724-852-2547 | |
Michael Tharp, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 265 Elm Dr, Waynesburg, PA 15370 Phone: 724-627-0685 Fax: 724-627-0849 | |
Ann-marie J Caron, PT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1490 E High St, Waynesburg, PA 15370 Phone: 724-627-9489 | |
Mr. Ronald Ermlick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Miller Ln, Waynesburg, PA 15370 Phone: 724-852-2727 | |
Regina Louise Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Greene Plz # Rts2179, Waynesburg, PA 15370 Phone: 724-852-2504 Fax: 724-852-2547 |