| Nicole Mead, DPT | |
|
44191 Plymouth Oaks Blvd, Suite 600, Plymouth, MI 48170-6530 | |
| (734) 259-7102 | |
| Not Available |
| Full Name | Nicole Mead |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 44191 Plymouth Oaks Blvd, Plymouth, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528360849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501013522 (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 |
| Provider Name | Ethos Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1225757719 PECOS PAC ID: 6507235298 Enrollment ID: O20221220002280 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Mead, DPT 1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258 Ph: (914) 294-4050 | Nicole Mead, DPT 44191 Plymouth Oaks Blvd, Suite 600, Plymouth, MI 48170-6530 Ph: (734) 259-7102 |
Tyler Donald Bolley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9368 N Lilley Rd, Plymouth, MI 48170 Phone: 734-416-3900 Fax: 734-416-3903 | |
Eric Normand Duquette, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Joel Hegeman, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 W Ann Arbor Trl, Suite 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Emily Jean Soto, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 580 Forest Ave Ste 1b, Plymouth, MI 48170 Phone: 734-673-8545 Fax: 734-545-8135 | |
Dorene Dudek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14300 N Beck Rd, Plymouth, MI 48170 Phone: 248-380-6222 Fax: 248-380-6224 | |
Heather Ngo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Nathan Ikhitte, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 |