| Jason Shallow, MPT | |
|
50912 Gratiot Ave, Chesterfield, MI 48051-3134 | |
| (586) 200-6603 | |
| (586) 200-6604 |
| Full Name | Jason Shallow |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 27 Years |
| Location | 50912 Gratiot Ave, Chesterfield, Michigan |
| 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 |
|---|---|---|---|
| 1396096327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501010038 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2054 |
| Provider Name | Farmington Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538197611 PECOS PAC ID: 7416865423 Enrollment ID: O20060731000458 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20191218001701 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Shallow, MPT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6200 | Jason Shallow, MPT 50912 Gratiot Ave, Chesterfield, MI 48051-3134 Ph: (586) 200-6603 |
Mrs. Ericka Leanne Zabicki, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 47085 Gratiot Ave, Chesterfield, MI 48051 Phone: 586-598-1247 Fax: 586-598-1260 | |
Monika Khanna, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33497 23 Mile Rd, Ste 170, Chesterfield, MI 48047 Phone: 586-716-1278 Fax: 586-716-1282 | |
Jennilyn Roberts, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50912 Gratiot Ave, Chesterfield, MI 48051 Phone: 586-200-6603 Fax: 586-200-6604 | |
Ronald Steven Rospierski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51651 Deborah Cir, Chesterfield, MI 48047 Phone: 586-306-1368 | |
Hh Rehab Associates Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 47085 Gratiot Ave, Chesterfield, MI 48051 Phone: 586-598-1247 Fax: 586-598-1260 | |
Dr. Katherine A Decarolis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 47085 Gratiot Ave, Chesterfield, MI 48051 Phone: 586-598-1247 Fax: 586-598-1260 | |
Victoria Fulgenti, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 32743 23 Mile Rd Ste 220, Chesterfield, MI 48047 Phone: 586-648-5050 Fax: 586-648-5051 |