| Nicole Elizabeth Kaltwasser, | |
|
2338 W Van Winkle Way Ste 3100, Peoria, IL 61615-7483 | |
| (309) 693-9189 | |
| (309) 693-9946 |
| Full Name | Nicole Elizabeth Kaltwasser |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 2338 W Van Winkle Way Ste 3100, Peoria, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265932677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Therapy Services Inc | 0345145843 | 17 |
| Provider Name | Professional Therapy Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578615225 PECOS PAC ID: 0345145843 Enrollment ID: O20031205000615 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Elizabeth Kaltwasser, 112 Ne Madison Ave, Peoria, IL 61602-1109 Ph: (309) 674-7874 | Nicole Elizabeth Kaltwasser, 2338 W Van Winkle Way Ste 3100, Peoria, IL 61615-7483 Ph: (309) 693-9189 |
Michelle C Bayer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2338 W Van Winkle Way, Suite 3100, Peoria, IL 61615 Phone: 309-693-9189 Fax: 309-693-9946 | |
Payton Hufnagel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-883-5070 | |
Jonathan R Sutter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-4109 | |
Matthew Schultz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-621-4111 | |
Molly D Lisenby, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5009 N Executive Dr Ste B, Peoria, IL 61614 Phone: 309-839-8631 Fax: 855-579-3536 | |
Vanessa L Halstead, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-687-2035 | |
Mrs. Theresa L. Snedden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-692-8110 |