| Michiana Physical Medicine Pc | |
|
1615 Winsted Dr, Suite 3, Goshen, IN 46526-4696 | |
| (574) 534-4648 | |
| Not Available |
| Full Name | Michiana Physical Medicine Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1615 Winsted Dr, Goshen, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336175769 | NPI | - | NPPES |
| 200339920A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Doran Erik Lounsbury |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144391939 PECOS PAC ID: 4688620867 Enrollment ID: I20050330001054 |
| Provider Name | Joan K Szynal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154422434 PECOS PAC ID: 2860415767 Enrollment ID: I20091124000513 |
| Provider Name | Kim M Wipperman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285983742 PECOS PAC ID: 4880844596 Enrollment ID: I20121015000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Michiana Physical Medicine Pc 1615 Winsted Dr, Suite 3, Goshen, IN 46526-4696 Ph: () - | Michiana Physical Medicine Pc 1615 Winsted Dr, Suite 3, Goshen, IN 46526-4696 Ph: (574) 534-4648 |
Kari Bowlby, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1615 Winsted Dr, Goshen, IN 46526 Phone: 574-534-4648 | |
Courtney N Herschberger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 609 S 8th St, Goshen, IN 46526 Phone: 574-202-8227 | |
Cynthia Nathaly Robling, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1775 E Kercher Rd, Goshen, IN 46526 Phone: 574-533-0300 | |
Patricia Gayle Carey, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19661 Cr 18, Goshen, IN 46528 Phone: 260-585-4367 Fax: 888-835-8511 | |
Aditi Dawar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1332 Waterford Cir, Goshen, IN 46526 Phone: 574-534-3920 | |
Dr. Jeanette A Samuel, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 421 S 7th St, Goshen, IN 46526 Phone: 574-534-9308 |