| Nathan Scandrett, DPT | |
|
4813 Dadrian Dr, Godfrey, IL 62035-1646 | |
| (618) 467-7071 | |
| Not Available |
| Full Name | Nathan Scandrett |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4813 Dadrian Dr, Godfrey, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205225075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | IL 070.020882 (Illinois) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Scandrett, DPT 4813 Dadrian Dr, Godfrey, IL 62035-1646 Ph: () - | Nathan Scandrett, DPT 4813 Dadrian Dr, Godfrey, IL 62035-1646 Ph: (618) 467-7071 |
Mrs. Jennifer Lynn Weis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Airport Rd, Godfrey, IL 62035 Phone: 618-466-8221 | |
Steven Smith, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1000 Airport Rd, Godfrey, IL 62035 Phone: 618-466-8831 | |
Brianna Elizabeth Gaughan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Airport Rd, Godfrey, IL 62035 Phone: 618-407-6765 | |
Mrs. Karen Janine Hatch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4610 Levis Ln, Godfrey, IL 62035 Phone: 618-208-7213 | |
Jaime N Haar, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5701 Godfrey Rd, Godfrey, IL 62035 Phone: 618-433-9919 Fax: 618-433-1455 | |
Ellen J Rull, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2911 Eagle Pointe Rd, Godfrey, IL 62035 Phone: 618-466-9110 |