| Jeremiah Blaser, PT, DPT | |
|
1686 Henry Luckow Ln, Belvidere, IL 61008-1705 | |
| (815) 547-4777 | |
| (815) 547-1024 |
| Full Name | Jeremiah Blaser |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1686 Henry Luckow Ln, Belvidere, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023533825 | NPI | - | NPPES |
| Provider Name | Advantage Physical Therapy & Sports Rehab, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881773463 PECOS PAC ID: 8022016336 Enrollment ID: O20061121000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremiah Blaser, PT, DPT 1686 Henry Luckow Ln, Belvidere, IL 61008-1705 Ph: (815) 547-4777 | Jeremiah Blaser, PT, DPT 1686 Henry Luckow Ln, Belvidere, IL 61008-1705 Ph: (815) 547-4777 |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1731 Henry Luckow Ln, Belvidere, IL 61008 Phone: 815-544-6967 Fax: 815-544-6984 | |
Nathan Dingess, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1255 Logan Ave, Belvidere, IL 61008 Phone: 815-547-4733 Fax: 815-547-9733 | |
Hannah Marie Rehfeldt, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1686 Henry Luckow Ln, Belvidere, IL 61008 Phone: 815-547-4777 | |
Christine M Moore, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 770 Beloit Rd, Belvidere, IL 61008 Phone: 815-398-9491 Fax: 815-381-7498 | |
Mary Louise Wheaton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2289 Long Ln, Belvidere, IL 61008 Phone: 815-519-5316 Fax: 815-544-6871 | |
Jessica L Sweeney, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 770 Beloit Rd, Belvidere, IL 61008 Phone: 815-398-9491 Fax: 815-381-7498 |