| Mitchell Blythe, DPT | |
|
850 43rd Ave Ste 300, Moline, IL 61265-8401 | |
| (309) 743-0300 | |
| (309) 743-0318 |
| Full Name | Mitchell Blythe |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 850 43rd Ave Ste 300, Moline, Illinois |
| 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 |
|---|---|---|---|
| 1891100426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 073981 (Iowa) | Secondary |
| 225100000X | Physical Therapist | 070-020731 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Rehab-orthopedic And Sports Specialist, P.c. | 4789621723 | 13 |
| Provider Name | Total Rehab-orthopedic And Sports Specialist, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700986304 PECOS PAC ID: 4789621723 Enrollment ID: O20050412000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Blythe, DPT 850 43rd Ave Ste 100, Moline, IL 61265-8401 Ph: (309) 743-2070 | Mitchell Blythe, DPT 850 43rd Ave Ste 300, Moline, IL 61265-8401 Ph: (309) 743-0300 |
Ms. Gretchen Renae Schroer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 43rd Ave Ste 100, Moline, IL 61265 Phone: 309-743-2070 Fax: 309-743-2073 | |
Michelle Snodgrass, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 850 43rd Ave, Suite 100, Moline, IL 61265 Phone: 309-743-2070 Fax: 309-743-2073 | |
Eric R Sacia, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 850 43rd Ave Ste 300, Moline, IL 61265 Phone: 309-743-0300 Fax: 309-743-0318 | |
Ms. Gale Rene' Griffith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4360 7th St, Moline, IL 61265 Phone: 309-762-6676 | |
Joshua Holeman, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 850 43rd Ave Ste 300, Moline, IL 61265 Phone: 309-743-2072 | |
Nina Golden, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2445 31st Avenue Ct, Moline, IL 61265 Phone: 309-236-3543 | |
Emiley Brand, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 Valley View Dr, Moline, IL 61265 Phone: 309-797-0866 |