| Trevor Luckey, PT | |
|
113 S Eastwood Dr, Woodstock, IL 60098-3519 | |
| (815) 334-0400 | |
| (815) 334-0800 |
| Full Name | Trevor Luckey |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 113 S Eastwood Dr, Woodstock, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538571617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Luckey, PT 625 Enterprise Dr., Oak Brook, IL 60523-8813 Ph: (630) 575-6250 | Trevor Luckey, PT 113 S Eastwood Dr, Woodstock, IL 60098-3519 Ph: (815) 334-0400 |
Lisa A Elias, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Lake Ave, Woodstock, IL 60098 Phone: 815-337-7100 | |
Maria Wondra, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 840 N Seminary Ave, Woodstock, IL 60098 Phone: 815-338-2110 | |
Norman J Mecwan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Lake Ave, Woodstock, IL 60098 Phone: 815-337-7100 Fax: 815-337-4793 | |
Heidi Meador, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 113 S Eastwood Dr, Woodstock, IL 60098 Phone: 815-334-0400 Fax: 815-334-0800 | |
Beth Erica Nystrom, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 665 W Jackson St, Woodstock, IL 60098 Phone: 815-334-8850 Fax: 815-334-8853 | |
Maria Samantha Quinain, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 708 Washington St, Woodstock, IL 60098 Phone: 815-338-1707 | |
Jean Badman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 113 S Eastwood Dr, Woodstock, IL 60098 Phone: 815-334-0400 Fax: 815-334-0800 |