Michael D Pittman, OT | |
499 Gloster Creek Vlg Ste F5, Tupelo, MS 38801-4631 | |
(662) 841-0551 | |
(662) 841-0554 |
Full Name | Michael D Pittman |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 499 Gloster Creek Vlg Ste F5, Tupelo, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629793039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT-3972 (Mississippi) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1477224814 PECOS PAC ID: 4789602681 Enrollment ID: O20211115001046 |
Mailing Address | Practice Location Address |
---|---|
Michael D Pittman, OT 2122 York Rd Ste 30, Oak Brook, IL 60523-1930 Ph: (630) 575-1980 | Michael D Pittman, OT 499 Gloster Creek Vlg Ste F5, Tupelo, MS 38801-4631 Ph: (662) 841-0551 |
Caley O'callaghan Speck, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1211 S Gloster St Ste C, Tupelo, MS 38801 Phone: 662-432-1523 | |
Mallory V Peden, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 960 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-260-3789 Fax: 662-260-3790 | |
Erin Olivia Goode, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 960 Commonwealth Blvd, Tupelo, MS 38804 Phone: 662-260-3789 | |
Ms. Debra Pasmore Bradsher, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 90 Clark Blvd, Tupelo, MS 38804 Phone: 662-840-0535 | |
Lydia Marie Thomas, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1150 S Green St Ste D, Tupelo, MS 38804 Phone: 601-815-3575 | |
Mrs. Leah Mrs Hawks, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Briar Ridge Rd, Tupelo, MS 38804 Phone: 662-844-0675 | |
Michael Alexander Pannell, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg Ste F5, Tupelo, MS 38801 Phone: 662-841-0551 |