| Jeremy Wayman, PT | |
|
3901 High St, Logansport, IN 46947-2562 | |
| (765) 210-4899 | |
| Not Available |
| Full Name | Jeremy Wayman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3901 High St, Logansport, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770043556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05003663A (Indiana) | Primary |
| Provider Name | Elite Therapy Corp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1235693300 PECOS PAC ID: 8224370242 Enrollment ID: O20190423001980 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Wayman, PT 580 E Carmel Dr Ste 208, Carmel, IN 46032-3314 Ph: (317) 325-8860 | Jeremy Wayman, PT 3901 High St, Logansport, IN 46947-2562 Ph: (765) 210-4899 |
Mr. Neil Allen Muller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1603 Chase Rd, Logansport, IN 46947 Phone: 574-737-7404 Fax: 574-737-7503 | |
Charlton Pe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2635 N Royal Center Pike, Logansport, IN 46947 Phone: 574-398-1411 | |
Dr. Chandler Nelson, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1603 Chase Rd, Logansport, IN 46947 Phone: 574-498-7326 | |
Mr. Todd Alan Reiff, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1603 Chase Rd, Logansport, IN 46947 Phone: 574-737-7404 Fax: 574-737-7503 | |
Mr. Ryan Joe Bice, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3092 W Delaware Rd, Logansport, IN 46947 Phone: 574-727-4461 | |
Erica Heater, PT, DPT, CLT-LANA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Michigan Ave, Logansport, IN 46947 Phone: 574-753-1380 Fax: 574-753-1589 | |
Vivek Atre, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 602 Woodbridge Ave, Logansport, IN 46947 Phone: 574-753-3223 |