| Mark Sirois, PT | |
|
26945 Ford Rd, Dearborn Heights, MI 48127 | |
| (313) 254-4873 | |
| (313) 264-0784 |
| Full Name | Mark Sirois |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 39 Years |
| Location | 26945 Ford Rd, Dearborn Heights, 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 |
|---|---|---|---|
| 1598723322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501003242 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2054 |
| Provider Name | Farmington Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538197611 PECOS PAC ID: 7416865423 Enrollment ID: O20060731000458 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20191218001701 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Sirois, PT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6200 | Mark Sirois, PT 26945 Ford Rd, Dearborn Heights, MI 48127 Ph: (313) 254-4873 |
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