| Jennifer Michelle Holland, | |
|
19701 Vernier Rd, Harper Woods, MI 48225-1467 | |
| (313) 884-8920 | |
| Not Available |
| Full Name | Jennifer Michelle Holland |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 26 Years |
| Location | 19701 Vernier Rd, Harper Woods, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295759348 | NPI | - | NPPES |
| 650H228680 | Other | MI | BCBS |
| 11760444 | Other | MI | CAQH |
| P00132801 | Other | MI | RAILROAD |
| P00363453 | Other | MI | RAILROAD |
| 650H222720 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501010565 (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 |
|---|---|
| Jennifer Michelle Holland, 1440 Ashby St, Westland, MI 48186-4806 Ph: () - | Jennifer Michelle Holland, 19701 Vernier Rd, Harper Woods, MI 48225-1467 Ph: (313) 884-8920 |
Dr. Romina Juliana Profeta, DPT, OMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19556 Harper Ave, Harper Woods, MI 48225 Phone: 313-885-6491 Fax: 313-885-6581 | |
Beverly Ruth Worman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19701 Vernier Rd, Suite 280, Harper Woods, MI 48225 Phone: 313-884-8920 Fax: 313-884-8510 | |
Ajiesh Avirah, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19556 Harper Ave, Harper Woods, MI 48225 Phone: 313-885-6491 | |
Julie A Shahly, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19701 Vernier Rd, Suite 280, Harper Woods, MI 48225 Phone: 313-884-8902 Fax: 313-884-8510 | |
Krystal Matesic, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19701 Vernier Rd, Harper Woods, MI 48225 Phone: 313-884-8920 | |
Lynn Ann Warbel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19701 Vernier Rd, Harper Woods, MI 48225 Phone: 313-884-8920 |