Ernest Carpenter Iii, LOTR | |
7607 Fern Ave Ste 704, Shreveport, LA 71105-5744 | |
(318) 828-1450 | |
Not Available |
Full Name | Ernest Carpenter Iii |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 23 Years |
Location | 7607 Fern Ave Ste 704, Shreveport, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235636226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTT.Z12249 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Function First Physical Therapy, Llc | 2961763768 | 11 |
Provider Name | Function First Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114430071 PECOS PAC ID: 2961763768 Enrollment ID: O20180219000133 |
Mailing Address | Practice Location Address |
---|---|
Ernest Carpenter Iii, LOTR 7607 Fern Ave Ste 704, Shreveport, LA 71105-5744 Ph: (318) 828-1450 | Ernest Carpenter Iii, LOTR 7607 Fern Ave Ste 704, Shreveport, LA 71105-5744 Ph: (318) 828-1450 |
Jennie Moore Bange, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-813-2972 | |
Lynn Gibbs Jenkins, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 Samford Ave, Shreveport, LA 71103 Phone: 318-222-5704 | |
Amanda Benson, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4509 Clingman Dr, Shreveport, LA 71105 Phone: 318-540-8180 | |
Mrs. Emily E Dennis, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Claiborne Ave, Shreveport, LA 71103 Phone: 318-813-2970 Fax: 318-813-2975 | |
Jessica Russell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 302 Sadie Douglas Cir, Shreveport, LA 71106 Phone: 318-465-3743 | |
Kimberly Johnson, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8870 Youree Dr Ste 108, Shreveport, LA 71115 Phone: 318-344-8021 | |
Rachel Elizabeth Johns, MOT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-990-5271 |