| Pathway Physical Therapy Llc | |
|
640 W South St, Freeport, IL 61032-6870 | |
| (815) 235-2301 | |
| Not Available |
| Full Name | Pathway Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 640 W South St, Freeport, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225856479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Madison E Pickard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003334905 PECOS PAC ID: 1153696430 Enrollment ID: I20171012002390 |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Physical Therapy Llc 72 Main St, German Valley, IL 61039-9012 Ph: () - | Pathway Physical Therapy Llc 640 W South St, Freeport, IL 61032-6870 Ph: (815) 235-2301 |
Madison E Pickard, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-6340 Fax: 815-599-6748 | |
Carrie Mccormick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1763 S Dirck Dr, Freeport, IL 61032 Phone: 815-233-5100 Fax: 815-235-2233 | |
Sally A Fisher, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1045 W Stephenson St, Freeport, IL 61032 Phone: 815-599-6000 | |
Northern Illinois Physical Therapy Services Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1763 S Dirck Dr, Freeport, IL 61032 Phone: 815-233-5100 Fax: 815-235-2233 | |
Shawn Douglas Gorsline, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7126 | |
Jill E Carr, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1763 S Dirck Dr, Freeport, IL 61032 Phone: 815-233-5100 Fax: 815-235-2233 |