| Lucas Jacob Vanderlaan, PHYSICAL THERAPIST | |
|
28933 Woodward Ave, Berkley, MI 48072-0923 | |
| (248) 414-7592 | |
| (248) 414-7661 |
| Full Name | Lucas Jacob Vanderlaan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 9 Years |
| Location | 28933 Woodward Ave, Berkley, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679010177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501018017 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthosport Physical Therapy And Athletic Rehabilitation Inc | 0547203952 | 6 |
| Provider Name | Orthosport Physical Therapy And Athletic Rehabilitation Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1710995246 PECOS PAC ID: 0547203952 Enrollment ID: O20050607000586 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas Jacob Vanderlaan, PHYSICAL THERAPIST 28933 Woodward Ave, Berkley, MI 48072-0923 Ph: (248) 414-7592 | Lucas Jacob Vanderlaan, PHYSICAL THERAPIST 28933 Woodward Ave, Berkley, MI 48072-0923 Ph: (248) 414-7592 |
Brandon Katona, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27803 Woodward Ave, Berkley, MI 48072 Phone: 248-850-7008 Fax: 248-657-7008 | |
Mr. Michael Andrew Colling, PT, MTC, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28933 Woodward Ave, Berkley, MI 48072 Phone: 248-414-7592 Fax: 248-414-7661 | |
Stacey Schwartz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2160 Coolidge Hwy, Berkley, MI 48072 Phone: 248-691-4700 | |
Patricia Jean Laudenslager, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2160 Coolidge Hwy, Berkley, MI 48072 Phone: 248-691-4700 Fax: 248-691-4710 | |
Mrs. Jeannette Rose Wiater, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28933 Woodward Ave, Berkley, MI 48072 Phone: 248-414-7592 Fax: 248-414-7661 | |
Mr. Jeffrey Carl Annis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2160 Coolidge Hwy, Berkley, MI 48072 Phone: 248-691-4700 | |
Dr. Mark Karam, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2160 Coolidge Hwy, Berkley, MI 48072 Phone: 248-691-4700 |