| Ms Pim Grace Dagatan Pimentel, PT | |
|
252 Paradise Pkwy, Oswego, IL 60543-8244 | |
| (331) 725-4868 | |
| Not Available |
| Full Name | Ms Pim Grace Dagatan Pimentel |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 252 Paradise Pkwy, Oswego, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942987938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05015059A (Indiana) | Primary |
| Provider Name | Ivyrehab Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750764494 PECOS PAC ID: 7012997638 Enrollment ID: O20151211000959 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Pim Grace Dagatan Pimentel, PT 252 Paradise Pkwy, Oswego, IL 60543-8244 Ph: (331) 725-4868 | Ms Pim Grace Dagatan Pimentel, PT 252 Paradise Pkwy, Oswego, IL 60543-8244 Ph: (331) 725-4868 |
Joseph J Caricato, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4511 Route 71, Oswego, IL 60543 Phone: 630-554-7815 | |
Schiltz Therapy Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 Hanover Ct, Oswego, IL 60543 Phone: 331-302-2473 | |
Elyse M. Wilson, OTR/L Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29d Stonehill Road, Oswego, IL 60543 Phone: 630-554-6156 Fax: 630-554-6378 | |
Dr. Giovanni Regalado, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 80 Templeton Dr, Oswego, IL 60543 Phone: 630-264-8440 | |
Mrs. Jennifer Wilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29d Stonehill Rd, Oswego, IL 60543 Phone: 630-554-6156 Fax: 630-554-6378 | |
Mrs. Kathleen Schiltz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 Hanover Ct, Oswego, IL 60543 Phone: 630-264-1708 | |
Affan R Khan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2872 Us Highway 34, Oswego, IL 60543 Phone: 630-554-8890 Fax: 630-554-8803 |