Mrs Nicole J Waite, MPT | |
170 Mill St, Gahanna, OH 43230-3036 | |
(614) 414-5437 | |
Not Available |
Full Name | Mrs Nicole J Waite |
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Gender | Female |
Speciality | Physical Therapist |
Location | 170 Mill St, 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 |
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1780990952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 012491 (Ohio) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1174153266 PECOS PAC ID: 2163339722 Enrollment ID: O20200304001327 |
Mailing Address | Practice Location Address |
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Mrs Nicole J Waite, MPT 7314 Jefferson Farms Blvd, New Albany, OH 43054-8410 Ph: () - | Mrs Nicole J Waite, MPT 170 Mill St, Gahanna, OH 43230-3036 Ph: (614) 414-5437 |
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 | |
Mitchell Robert Machock, DPT Physical Therapist Medicare: Medicare Enrolled 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 | |
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 | |
Kindrea Messer, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1370 Cherry Bottom Rd, Gahanna, OH 43230 Phone: 614-498-2240 Fax: 614-414-3098 |