| James G Schaefer, PT | |
|
505 College Ave, Ottawa, IL 61350-3858 | |
| (815) 434-1130 | |
| Not Available |
| Full Name | James G Schaefer |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 505 College Ave, Ottawa, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316507841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.007109 (Illinois) | Primary |
| Provider Name | Premise Health of Illinois Medical PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427366921 PECOS PAC ID: 3971764762 Enrollment ID: O20120423000619 |
| Mailing Address | Practice Location Address |
|---|---|
| James G Schaefer, PT 820 33rd St, Peru, IL 61354-9488 Ph: (309) 235-1181 | James G Schaefer, PT 505 College Ave, Ottawa, IL 61350-3858 Ph: (815) 434-1130 |
Katie Elissa Tarr, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 802 Knottingham Dr, Ottawa, IL 61350 Phone: 815-712-8915 Fax: 815-324-9107 |
Dr. Damon Joseph Quest, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-651-9047 |
Mr. Myles Jacob Berg, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-431-5230 |
Jessica Manijak, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-431-5230 |
Myleigh Rossiter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2744 Columbus St Ste 300, Ottawa, IL 61350 Phone: 815-434-4550 |
Mrs. Juli Ann Kent, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1306 Gemini Cir, Suite 3, Ottawa, IL 61350 Phone: 815-431-9980 |
Mr. Krzysztof Ratajczak, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-3100 |