| Team Rehabilitation In09, Llc | |
|
500 Sagamore Pkwy W, Suite 2w, West Lafayette, IN 47906-1459 | |
| (765) 250-9660 | |
| (765) 250-9661 |
| Full Name | Team Rehabilitation In09, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 500 Sagamore Pkwy W, West Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700319712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | William W Waggoner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255368049 PECOS PAC ID: 4385701564 Enrollment ID: I20090316000663 |
| Provider Name | Bruna Lemos Guelfi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679876155 PECOS PAC ID: 2062690316 Enrollment ID: I20161019001546 |
| Provider Name | Lauren Alissa Conner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619496387 PECOS PAC ID: 6800153578 Enrollment ID: I20180926002423 |
| Provider Name | Kyle W Bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669073573 PECOS PAC ID: 7315358959 Enrollment ID: I20201202002977 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation In09, Llc 33900 Harper Ave, Suite 104, Clinton Township, MI 48035-4258 Ph: (586) 350-2644 | Team Rehabilitation In09, Llc 500 Sagamore Pkwy W, Suite 2w, West Lafayette, IN 47906-1459 Ph: (765) 250-9660 |
Jessica Stipp, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Lindberg Rd, West Lafayette, IN 47906 Phone: 765-464-5600 | |
Randous Bowens, Physical Therapist Medicare: Medicare Enrolled Practice Location: 257 Sagamore Pkwy W, Suite 230, West Lafayette, IN 47906 Phone: 765-463-2200 | |
Lawrence Dantae Robertson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 909 Sagamore Pkwy W Ste 917, West Lafayette, IN 47906 Phone: 765-463-0710 Fax: 765-463-0711 | |
Kirstin Lestinsky, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1044 Sagamore Pkwy W Unit A, West Lafayette, IN 47906 Phone: 765-250-4445 | |
Rachel Wichlinski, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2741 N Salisbury St, West Lafayette, IN 47906 Phone: 765-463-7546 | |
Garrett R Buechler, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1044 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-250-4445 Fax: 765-463-7664 | |
Kirsten Zambon, PT, DPT, CLT Physical Therapist Medicare: Medicare Enrolled Practice Location: 909 Sagamore Pkwy W Ste 917, West Lafayette, IN 47906 Phone: 765-463-0710 Fax: 765-463-0711 |