| Marcus Hudson, PT, DPT | |
|
24737 N Lake Pleasant Pkwy Ste 106, Peoria, AZ 85383-1569 | |
| (623) 289-3200 | |
| (623) 289-3200 |
| Full Name | Marcus Hudson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 24737 N Lake Pleasant Pkwy Ste 106, Peoria, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124752936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0000012394 (Tennessee) | Secondary |
| 225100000X | Physical Therapist | CP014320T (Arizona) | Primary |
| Provider Name | Kinect Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811265929 PECOS PAC ID: 3476713009 Enrollment ID: O20120319000836 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20190204002630 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcus Hudson, PT, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Marcus Hudson, PT, DPT 24737 N Lake Pleasant Pkwy Ste 106, Peoria, AZ 85383-1569 Ph: (623) 289-3200 |
Michelle Renae Wagoner, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9713 W Tonopah Dr, Peoria, AZ 85382 Phone: 480-381-0220 Fax: 623-594-9094 | |
Andrew Yanes, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7707 W Deer Valley Rd Ste 100, Peoria, AZ 85382 Phone: 480-706-1161 | |
Total Body Zone Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8440 W Thunderbird Rd, Peoria, AZ 85381 Phone: 623-776-9662 Fax: 623-776-2813 | |
Dr. Lindsey K Tellez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9401 W Thunderbird Rd Ste 190, Peoria, AZ 85381 Phone: 623-977-5451 | |
Lanora Riley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6760 W Thunderbird Rd Ste E110, Peoria, AZ 85381 Phone: 623-846-7614 Fax: 623-846-0993 | |
Alexander Rodriguez Del Villar, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7707 W Deer Valley Rd Ste 100, Peoria, AZ 85382 Phone: 623-376-9100 | |
Kerilyn Graham, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9139 W Thunderbird Rd Ste 225, Peoria, AZ 85381 Phone: 602-317-3800 |