| Jeffery Lee Ciocca, PT | |
|
621 W North St, Kendallville, IN 46755-1009 | |
| (260) 343-0343 | |
| (260) 343-0533 |
| Full Name | Jeffery Lee Ciocca |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 33 Years |
| Location | 621 W North St, Kendallville, Indiana |
| 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 |
|---|---|---|---|
| 1255340899 | NPI | - | NPPES |
| 200250170A | Medicaid | IN | |
| 200154530 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05003606A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spine Sports And Industrial Rehabilitation Of Ligonier, Inc. | 1153481106 | 2 |
| Hoosier Physical Therapy Llc | 7618955014 | 2 |
| Provider Name | Hoosier Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932118593 PECOS PAC ID: 7618955014 Enrollment ID: O20040712001292 |
| Provider Name | Spine Sports & Industrial Rehabilitation Of Ligonier, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376745091 PECOS PAC ID: 1153481106 Enrollment ID: O20090107000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery Lee Ciocca, PT Po Box 350034, Toledo, OH 43635-0034 Ph: (260) 343-0343 | Jeffery Lee Ciocca, PT 621 W North St, Kendallville, IN 46755-1009 Ph: (260) 343-0343 |
Ms. Amber Hays, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1292 Drake Road, Parkview Noble Therapy, Kendallville, IN 46755 Phone: 260-347-8824 Fax: 260-347-8827 | |
Shawna Trombley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 860 N Lima Rd, Kendallville, IN 46755 Phone: 260-242-5345 | |
Ms. Sage Howe, PTA, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1292 Drake Road, Kendallville, IN 46755 Phone: 260-347-8824 Fax: 260-347-8827 | |
Ms. Elaine Patterson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1292 Drake Rd., Parkview Noble Therapy, Kendallville, IN 46755 Phone: 260-347-8824 Fax: 260-347-8823 | |
Ms. Dawn Levin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1292 Drake Rd, Parkview Noble Therapy, Kendallville, IN 46755 Phone: 260-347-8824 Fax: 260-347-8827 | |
Hoosier Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 W North St, Kendallville, IN 46755 Phone: 260-343-0343 |