| Jeofrey Dela Cruz, PT | |
|
1052 Lincoln Dr, Manteno, IL 60950-9392 | |
| (815) 468-1401 | |
| (815) 468-1409 |
| Full Name | Jeofrey Dela Cruz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1052 Lincoln Dr, Manteno, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225063399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070009851 (Illinois) | Secondary |
| 225100000X | Physical Therapist | P21430 (North Carolina) | Primary |
| Provider Name | Proactive Therapy Of North Carolina Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568468502 PECOS PAC ID: 6305753120 Enrollment ID: O20130207000475 |
| Provider Name | Manual Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164860169 PECOS PAC ID: 4385879592 Enrollment ID: O20131024000331 |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669432175 PECOS PAC ID: 9537076401 Enrollment ID: O20161201002068 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeofrey Dela Cruz, PT 70 N Locust St, Manteno, IL 60950-1514 Ph: (815) 468-1401 | Jeofrey Dela Cruz, PT 1052 Lincoln Dr, Manteno, IL 60950-9392 Ph: (815) 468-1401 |
Athletico, Ltd. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 183 N Main St, Manteno, IL 60950 Phone: 815-261-0044 Fax: 815-513-9397 | |
Terri Lee Verbeeren-banting, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 183 N Main St, Manteno, IL 60950 Phone: 815-261-0044 Fax: 815-513-9397 | |
Margaretha Breuker-edelman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 546 S Poplar St, Manteno, IL 60950 Phone: 815-468-1830 | |
Shannon K Kleinfelder, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Veterans Dr, Manteno, IL 60950 Phone: 815-468-6581 |