| Mitchell Robert Machock, DPT | |
|
605 Crescent Pl, Gahanna, OH 43230-3086 | |
| (614) 545-7900 | |
| (614) 545-7901 |
| Full Name | Mitchell Robert Machock |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 605 Crescent Pl, Gahanna, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063977676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT021357 (Ohio) | Primary |
| Provider Name | Orthopedic One, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548289697 PECOS PAC ID: 3072598283 Enrollment ID: O20040622000841 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Robert Machock, DPT 340 Polaris Pkwy, Westerville, OH 43082-7971 Ph: (614) 545-7900 | Mitchell Robert Machock, DPT 605 Crescent Pl, Gahanna, OH 43230-3086 Ph: (614) 545-7900 |
Mrs. Jennifer Lynn Advent, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1045 Beecher Xing N, Suite C, Gahanna, OH 43230 Phone: 614-775-9618 Fax: 614-775-9633 | |
Danielle Skaggs, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 170 Mill St, Gahanna, OH 43230 Phone: 614-414-5437 | |
Xavier Stephen Martinez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 605 Crescent Pl, Gahanna, OH 43230 Phone: 614-545-7900 Fax: 614-545-7901 | |
Jack Jander, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1045 Beecher Xing N Ste C, Gahanna, OH 43230 Phone: 614-775-9618 | |
Cody James Mansfield, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 920 N Hamilton Rd, Gahanna, OH 43230 Phone: 614-293-5586 Fax: 614-293-5586 | |
Katherine Marie Kakis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 605 Crescent Pl, Gahanna, OH 43230 Phone: 614-545-7900 Fax: 614-545-7901 |