Jennifer N Drake (NPI# 1104051184, PAC ID# 6103979000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1104051184 |
| PAC ID by PECOS | 6103979000 |
| Professional Enrollment ID | I20090724000275 |
| Full Name | Jennifer N Drake |
| Organization Legal Name | ORTHOPEDIC 360 PHYSICAL THERAPY LLC |
| Address |
830 Cottageview Dr Suite 204 Traverse City MI 49684-2384 |
| Phone Number | 2314866368 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4789901182 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 830 Cottageview Dr, Suite 204, Traverse City, MI 49684-2384 | 2314866368 | ORTHOPEDIC 360 PHYSICAL THERAPY LLC |
| Organization Legal Name | ORTHOPEDIC 360 PHYSICAL THERAPY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Regina P Gray | Physical Therapy | Orthopedic 360 Physical Therapy LLC | 830 Cottageview Dr, Suite 204, Traverse City, MI 49684-2384 |
| Tiffany N Broering Robbins | Physical Therapy | Orthopedic 360 Physical Therapy LLC | 830 Cottageview Dr, Suite 204, Traverse City, MI 49684-2384 |
| Betsy S Boyce | Physical Therapy | Orthopedic 360 Physical Therapy LLC | 830 Cottageview Dr, Suite 204, Traverse City, MI 49684-2384 |
| Street Address |
830 COTTAGEVIEW DR SUITE 204 |
| City | TRAVERSE CITY |
| State | MI |
| Zip | 49684-2384 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Regina P Gray | Physical Therapy | Orthopedic 360 Physical Therapy LLC | 830 Cottageview Dr, Suite 204, Traverse City, MI 49684-2384 |
| Tiffany N Broering Robbins | Physical Therapy | Orthopedic 360 Physical Therapy LLC | 830 Cottageview Dr, Suite 204, Traverse City, MI 49684-2384 |
| Betsy S Boyce | Physical Therapy | Orthopedic 360 Physical Therapy LLC | 830 Cottageview Dr, Suite 204, Traverse City, MI 49684-2384 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John F Ulrich | Psychologist, Clinical | 102 W Front St, Suite 402, Traverse City, MI 49684-1201 | |
| Melanie S Villanueva | Clinical Social Worker | 134 W State St, Suite 202, Traverse City, MI 49684-1491 | |
| Hillary R Toennies | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Paul Andrew Hanrahan | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Barbara Jones Smith | Clinical Psychologist | Barbara Jones Smith Phd PC | 821 S Elmwood C, Traverse City, MI 49684-2191 |
| Julie Slough Runstrom | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Christopher James Kowalski | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| David Cannon | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Karisa Ritter | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Elizabeth J Nichols | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Find all physicians in zip 49684 | |||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | TRAVERSE CITY + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.