| Sowjanya Pinnamaneni, PT | |
|
650 Dakota St, Suite A, Crystal Lake, IL 60012-3744 | |
| (815) 455-6000 | |
| (815) 477-2226 |
| Full Name | Sowjanya Pinnamaneni |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 650 Dakota St, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730203266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.016354 (Illinois) | Primary |
| Provider Name | Third Eye Bliss Pt 1 Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114671971 PECOS PAC ID: 3870972672 Enrollment ID: O20220624002132 |
| Provider Name | Third Eye Bliss Investments, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275259731 PECOS PAC ID: 8426426453 Enrollment ID: O20221123001610 |
| Mailing Address | Practice Location Address |
|---|---|
| Sowjanya Pinnamaneni, PT 650 Dakota St, Suite A, Crystal Lake, IL 60012-3744 Ph: (815) 455-6000 | Sowjanya Pinnamaneni, PT 650 Dakota St, Suite A, Crystal Lake, IL 60012-3744 Ph: (815) 455-6000 |
Wendy Fritz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Lane; Suite 170, Centegra Health System: Neuro-rehabilitation Center, Crystal Lake, IL 60014 Phone: 815-356-2700 | |
Peyton Flynn, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1095 Pingree Rd Ste 209, Crystal Lake, IL 60014 Phone: 847-458-8890 | |
Mrs. Lori Ann Bright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1629 Rolling Hills Dr, Crystal Lake, IL 60014 Phone: 847-669-8008 | |
Evan R Corsolini, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 407 E Congress Pkwy Ste C, Crystal Lake, IL 60014 Phone: 847-987-5085 Fax: 847-462-0755 | |
Nelle Link, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Northwest Hwy, Crystal Lake, IL 60014 Phone: 815-455-7800 Fax: 815-455-1299 | |
Tcm Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4421 S Nancy Dr, Crystal Lake, IL 60014 Phone: 815-245-3845 | |
Ms. Gina Huber, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 E Congress Pkwy, Crystal Lake, IL 60014 Phone: 815-477-4348 Fax: 815-477-5828 |