| Stefan Cantwell, DPT | |
|
3870 Stadium Way Dept 2701, Ogden, UT 84408-2701 | |
| (801) 626-7712 | |
| (801) 626-7264 |
| Full Name | Stefan Cantwell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 3870 Stadium Way Dept 2701, Ogden, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023850112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13970066-2401 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sundance Physical Therapy Farr West Llc | 4183788813 | 3 |
| Sundance Physical Therapy Llc | 8729067236 | 3 |
| Provider Name | Sundance Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932265758 PECOS PAC ID: 8729067236 Enrollment ID: O20040719000256 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefan Cantwell, DPT 3870 Stadium Way Dept 2701, Ogden, UT 84408-2701 Ph: (801) 626-7712 | Stefan Cantwell, DPT 3870 Stadium Way Dept 2701, Ogden, UT 84408-2701 Ph: (801) 626-7712 |
Parker Joens, PT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3870 Stadium Way Dept 2701, Ogden, UT 84408 Phone: 801-626-7712 Fax: 801-626-7264 | |
Ernie Chasias Chavez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5349 S Adams Ave, Suite A, Ogden, UT 84405 Phone: 801-479-9865 Fax: 801-479-5846 | |
Kfdd Physical Therapy & Sports Medicine Clinic Physical Therapist Medicare: Medicare Enrolled Practice Location: 2261 Kiesel Ave., Suite #320, Ogden, UT 84401 Phone: 801-621-8835 Fax: 801-528-5357 | |
Melissa Arlene Ita'aehau, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5349 S Adams Ave, Suite A, Ogden, UT 84405 Phone: 801-479-9865 Fax: 801-479-5846 | |
Dallen S Wheelwright, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 375 E 5350 S, Ogden, UT 84405 Phone: 801-479-5700 | |
Chariton Arnold Ferrin Iii, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7615 Fax: 801-387-7667 |