| Team Rehabilitation Ty, Llc | |
|
75 W Square Lake Rd, Troy, MI 48098-2929 | |
| (248) 688-9004 | |
| (248) 688-9013 |
| Full Name | Team Rehabilitation Ty, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 75 W Square Lake Rd, Troy, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184995623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Michigan) | Primary |
| Provider Name | Kathleen M Demees |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144722992 PECOS PAC ID: 4587600580 Enrollment ID: I20050629001198 |
| Provider Name | Elizabeth G Macdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841320512 PECOS PAC ID: 0648374694 Enrollment ID: I20070430000056 |
| Provider Name | Beth E Richardson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578701637 PECOS PAC ID: 2264621085 Enrollment ID: I20110110000923 |
| Provider Name | Kelsey R Boltwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841603420 PECOS PAC ID: 4385861616 Enrollment ID: I20140811001974 |
| Provider Name | Ryan Easton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992193577 PECOS PAC ID: 6709100951 Enrollment ID: I20150119000666 |
| Provider Name | Anthony J Gamm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598132219 PECOS PAC ID: 3072821826 Enrollment ID: I20150929001406 |
| Provider Name | Jamie Gamm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023554300 PECOS PAC ID: 1850677964 Enrollment ID: I20170404000339 |
| Provider Name | Lauren Faw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255860771 PECOS PAC ID: 1951670017 Enrollment ID: I20170705000924 |
| Provider Name | Scott R Wade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780104711 PECOS PAC ID: 0244504652 Enrollment ID: I20170925000791 |
| Provider Name | Kimlee Ung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699267468 PECOS PAC ID: 5193070548 Enrollment ID: I20180626002207 |
| Provider Name | Stacey Malinowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841865490 PECOS PAC ID: 2961801568 Enrollment ID: I20210602001684 |
| Provider Name | Bianca Kassab |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750873931 PECOS PAC ID: 9931508405 Enrollment ID: I20210603001410 |
| Provider Name | Rachael Rainko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346900172 PECOS PAC ID: 1951792688 Enrollment ID: I20220106001657 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation Ty, Llc 33900 Harper Ave, Suite 104, Clinton Township, MI 48035-4258 Ph: (586) 350-2644 | Team Rehabilitation Ty, Llc 75 W Square Lake Rd, Troy, MI 48098-2929 Ph: (248) 688-9004 |
Pamela Brioso Gonzales-lanac, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Beaumont Hospital-troy, 44201 Dequindre Rd Ste 203a, Troy, MI 48085 Phone: 248-964-4014 | |
Lana Spomer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1950 E Wattles Rd, Ste 108, Troy, MI 48085 Phone: 586-323-2957 | |
Mayank Shah, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3250 W Big Beaver Rd, Suite 304, Troy, MI 48084 Phone: 317-453-0430 | |
Purvi D Shah, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1663 Stephenson Hwy, Troy, MI 48083 Phone: 248-327-6619 Fax: 248-327-6628 | |
Amy Feyer Bodway, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4841 Danbury Dr, Troy, MI 48085 Phone: 248-302-4242 | |
Lauren Dysarz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2221 Livernois Rd Ste 103, Troy, MI 48083 Phone: 248-988-4410 Fax: 248-988-4411 | |
Michigan Institute For Human Performance Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2265 Livernois Rd, Suite 700, Troy, MI 48083 Phone: 248-269-0230 Fax: 248-269-0231 |