| Mrs Debra Witt, PT | |
|
1546 Water St, Blue Island, IL 60406-5094 | |
| (708) 505-2298 | |
| Not Available |
| Full Name | Mrs Debra Witt |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1546 Water St, Blue Island, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881355535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.006468 (Illinois) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1982018362 PECOS PAC ID: 2365359932 Enrollment ID: O20141024000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Debra Witt, PT 10300 Austen Ct, Mokena, IL 60448-7952 Ph: (708) 606-5097 | Mrs Debra Witt, PT 1546 Water St, Blue Island, IL 60406-5094 Ph: (708) 505-2298 |
Natalie Renee Casey, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1546 Water St, Blue Island, IL 60406 Phone: 815-370-4581 | |
Physical Therapy And Sports Injury Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-824-0515 Fax: 708-824-0517 | |
Jessica L. Scott, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-824-0515 Fax: 708-824-0516 | |
Mr. Ronald Frank Agrigento, P.T., A.T.C. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-824-0515 Fax: 708-824-0516 | |
Gina Brown, Physical Therapist Medicare: Medicare Enrolled Practice Location: 12757 Western Ave, Blue Island, IL 60406 Phone: 708-293-8510 | |
Ptsir Industrial Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-824-0515 Fax: 708-824-0517 |