| Mark Jardenil, | |
|
2575 N Drake Rd, Kalamazoo, MI 49006-1358 | |
| (269) 342-0206 | |
| Not Available |
| Full Name | Mark Jardenil |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2575 N Drake Rd, Kalamazoo, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215367826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501009658 (Michigan) | Primary |
| 225100000X | Physical Therapist | 014646 (New York) | Secondary |
| Provider Name | Select Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20200923001962 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Jardenil, 2575 North Drake Rd, Kalamazoo, MI 49009 Ph: (269) 342-0206 | Mark Jardenil, 2575 N Drake Rd, Kalamazoo, MI 49006-1358 Ph: (269) 342-0206 |
Amanda Baumann, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3025 Gull Rd, Kalamazoo, MI 49048 Phone: 269-552-5530 | |
Jennifer Anne Vemich, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 269-341-6390 | |
Regina B Mc Pherson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 Turwill Ln, Kalamazoo, MI 49006 Phone: 269-343-8170 Fax: 269-382-8490 | |
Nathan Keniston, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5886 Venture Park Dr, Kalamazoo, MI 49009 Phone: 269-375-4737 | |
Auro Physical Therapy, Plc Physical Therapist Medicare: Medicare Enrolled Practice Location: 7900 Owen Dr, Kalamazoo, MI 49009 Phone: 269-903-2273 Fax: 269-903-2329 | |
Christine Schuppel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 John St Ste 151, Kalamazoo, MI 49007 Phone: 269-341-6390 | |
Juli Dimock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 269-341-6390 |