| Mr Jason T Grandone, PT | |
|
765 N Kellogg St, Galesburg, IL 61401-2875 | |
| (309) 343-3434 | |
| (309) 343-3456 |
| Full Name | Mr Jason T Grandone |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 29 Years |
| Location | 765 N Kellogg St, Galesburg, 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 |
|---|---|---|---|
| 1982603502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070010049 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apex Physical Therapy, Llc | 2264423458 | 84 |
| Provider Name | Apex Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033166061 PECOS PAC ID: 2264423458 Enrollment ID: O20040518000891 |
| Provider Name | Midwest Pcw Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275931156 PECOS PAC ID: 3779807482 Enrollment ID: O20150128000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason T Grandone, PT 765 N Kellogg St, Galesburg, IL 61401-2871 Ph: (309) 343-3434 | Mr Jason T Grandone, PT 765 N Kellogg St, Galesburg, IL 61401-2875 Ph: (309) 343-3434 |
Ms. Melissa Engebretson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 872 W Dayton St, Galesburg, IL 61401 Phone: 309-344-3400 Fax: 309-344-5040 | |
Lakshmi Kalyani Gudavalli, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 Phone: 309-344-1151 | |
Jacobus Anton Wellerdieck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600 | |
Mrs. Jill Hickman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 865 N Kellogg St, 3rd Floor, Galesburg, IL 61401 Phone: 309-343-3434 Fax: 309-343-3456 | |
Ms. Wendy Michelle Paul, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600 Fax: 309-344-9675 | |
Dr. Joshua S Adams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600 | |
Ms. Laura Carroll Brown, PT, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600 |