| Ms Shannon M Reardon, PT | |
|
715 S Taft Ave, Fremont, OH 43420-3200 | |
| (419) 332-7321 | |
| (419) 334-6673 |
| Full Name | Ms Shannon M Reardon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 715 S Taft Ave, Fremont, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497854103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 005743 (Ohio) | Primary |
| Provider Name | Pt Services Rehabilitation Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972505576 PECOS PAC ID: 2567487887 Enrollment ID: O20231219003173 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shannon M Reardon, PT 1550 Williams Dr, Fremont, OH 43420-3632 Ph: (419) 447-7203 | Ms Shannon M Reardon, PT 715 S Taft Ave, Fremont, OH 43420-3200 Ph: (419) 332-7321 |
Ms. Kimberly S Hutton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-332-7321 Fax: 419-334-6673 | |
Erin M Scott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Cleveland Ave, Fremont, OH 43420 Phone: 419-334-6630 | |
Ms. Tricia L Michael, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-447-7203 Fax: 419-447-5577 | |
Ms. Laraine A Bauer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-332-7321 Fax: 419-334-6673 | |
Mrs. Sara E Ellerbrock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Cleveland Ave, Fremont, OH 43420 Phone: 419-334-6630 Fax: 419-334-6673 | |
Mr. Frederick J Garcia, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-332-7321 Fax: 419-334-6673 | |
Dr. Casey Thomas Mcconihe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 W State St Ste 2, Fremont, OH 43420 Phone: 419-332-6709 |