Tanner Nielsen, DPT, PT | |
2310 Bale St, Raleigh, NC 27608-1771 | |
(919) 364-4000 | |
Not Available |
Full Name | Tanner Nielsen |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 2310 Bale St, Raleigh, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770262271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | P22332 (North Carolina) | Primary |
Entity Name | Moriarty Physical Therapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447715982 PECOS PAC ID: 8426391392 Enrollment ID: O20190515003375 |
Mailing Address | Practice Location Address |
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Tanner Nielsen, DPT, PT 2310 Bale St, Raleigh, NC 27608-1771 Ph: (919) 364-4000 | Tanner Nielsen, DPT, PT 2310 Bale St, Raleigh, NC 27608-1771 Ph: (919) 364-4000 |
Mr. Jay Drew Goodman, PT, SCS Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1603 Hillsborough St, 1603 Hillsborough Street, Raleigh, NC 27605 Phone: 919-350-3800 Fax: 919-838-5379 | |
Wayne Calvin Hu, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl Ste 100, Raleigh, NC 27607 Phone: 984-215-6950 Fax: 984-215-6951 | |
Dr. Justin Richard Scruggs, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3480 Wake Forest Rd, # 208, Raleigh, NC 27609 Phone: 919-781-4541 Fax: 919-781-4812 | |
Carl Lynwood Smith, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11550 Common Oaks Dr, Suite 100, Raleigh, NC 27614 Phone: 919-453-5740 Fax: 919-313-1276 | |
Michael D Gwinn, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-8779 Fax: 919-350-8812 | |
Vanessa Yap Banares, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3305 Sungate Blvd, Raleigh, NC 27610 Phone: 919-212-0129 | |
Wing K Ng, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-8779 Fax: 919-350-8812 |