| Ms Susan Mccourt, PT | |
|
709 W. Superior, Wayland, MI 49348 | |
| (269) 792-4440 | |
| Not Available |
| Full Name | Ms Susan Mccourt |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 709 W. Superior, Wayland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629222864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501011653 (Michigan) | Primary |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan Mccourt, PT 607 Dewey Ave Nw, Ste 300, Grand Rapids, MI 49504-7335 Ph: (616) 304-1397 | Ms Susan Mccourt, PT 709 W. Superior, Wayland, MI 49348 Ph: (269) 792-4440 |
Chad William Sterk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 Fax: 616-965-2475 | |
Michael Brendan Brossman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Carlos Mata, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Courtney Earles, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Denise Jongekrijg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 Fax: 616-965-2475 | |
Matthew D Casterline, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Jordan Defever, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 893 E Superior St, Wayland, MI 49348 Phone: 616-252-3433 |