| John Malacad Abantao Jr, | |
|
1001 E Pells St, Paxton, IL 60957-1300 | |
| (217) 379-4361 | |
| Not Available |
| Full Name | John Malacad Abantao Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1001 E Pells St, Paxton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003554759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 040925-01 (New York) | Secondary |
| 225100000X | Physical Therapist | 070.024114 (Illinois) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| John Malacad Abantao Jr, 325 E 13th St, Gibson City, IL 60936-1104 Ph: (929) 213-5523 | John Malacad Abantao Jr, 1001 E Pells St, Paxton, IL 60957-1300 Ph: (217) 379-4361 |
Christie L Putnam, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 E Pells St, Paxton, IL 60957 Phone: 217-379-4361 | |
Smart Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 257 W Orleans St, Paxton, IL 60957 Phone: 913-375-2837 | |
Mrs. Kelly Ann Ficklin, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 E Pells St, Paxton, IL 60957 Phone: 217-379-4361 | |
Kelly Dawn Cooke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 227 N Market St, Paxton, IL 60957 Phone: 217-379-2500 Fax: 217-379-2554 | |
Gwyn L Howard, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 257 W. Orleans, Paxton, IL 60957 Phone: 913-375-2837 |