| Hannah Leon, | |
|
2003 W 4th St, Ontario, OH 44906-1865 | |
| (567) 307-6008 | |
| Not Available |
| Full Name | Hannah Leon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 2003 W 4th St, Ontario, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366105447 | NPI | - | NPPES |
| 0099318 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | PT021502 (Ohio) | Primary |
| 225100000X | Physical Therapist | PT021502 (Ohio) | Secondary |
| Provider Name | Coastline Therapy Group, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730681388 PECOS PAC ID: 5799023826 Enrollment ID: O20190214001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Leon, 700 Childrens Dr, Columbus, OH 43205-2639 Ph: (614) 722-2200 | Hannah Leon, 2003 W 4th St, Ontario, OH 44906-1865 Ph: (567) 307-6008 |
Miss Christine Mcelfresh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 W 4th St, Ontario, OH 44906 Phone: 419-685-1447 | |
Mrs. Lori M Grisez, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2003 W 4th St Ste 205, Ontario, OH 44906 Phone: 567-307-6008 | |
Vincent Scaia, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 W 4th St Ste 100, Ontario, OH 44906 Phone: 419-774-5520 Fax: 540-982-7637 | |
Kerry Ruhl, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 W 4th St, Ontario, OH 44906 Phone: 419-520-2386 | |
Sandra Antoszewski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2003 W 4th St Ste 205, Ontario, OH 44906 Phone: 567-307-6008 | |
Dr. Ethan John Myers, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2170 Stumbo Rd, Ontario, OH 44906 Phone: 419-756-2525 | |
Heidi Kreglow, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2291 W 4th St, Suite D, Ontario, OH 44906 Phone: 419-589-2238 |