| Samantha Garza, | |
|
1514 S Main St Ste 4, Red Bud, IL 62278-1382 | |
| (618) 282-5555 | |
| Not Available |
| Full Name | Samantha Garza |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 1514 S Main St Ste 4, Red Bud, 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 |
|---|---|---|---|
| 1922778000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletic And Therapeutic Institute Of Bourbonnais, Llc | 4183692577 | 137 |
| Provider Name | Athletic And Therapeutic Institute Of Bourbonnais, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Garza, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Samantha Garza, 1514 S Main St Ste 4, Red Bud, IL 62278-1382 Ph: (618) 282-5555 |
Ethan Louis Duclos, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3507 State Route 3, Red Bud, IL 62278 Phone: 618-977-7415 | |
Natalie N Liefer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 S Main St, Red Bud, IL 62278 Phone: 618-443-7574 | |
Cara Dake, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Spring St, Red Bud, IL 62278 Phone: 618-282-5176 Fax: 618-282-3596 | |
Mrs. Nancy L Connelly, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Spring St, Red Bud, IL 62278 Phone: 618-282-5172 Fax: 618-282-3596 | |
Mrs. Ashley N Hentis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Spring St, Red Bud, IL 62278 Phone: 618-282-5172 Fax: 618-282-3596 | |
Mrs. Aimee Kathleen Range, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Spring St, Red Bud, IL 62278 Phone: 618-282-5172 Fax: 618-282-3596 | |
Sarah E Heine, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Spring St, Red Bud, IL 62278 Phone: 618-282-5172 |