Mr Charles Jeffrey Edington, OTR | |
18 County Road 458, Mountain Home, AR 72653-8212 | |
(870) 425-5252 | |
(870) 425-5254 |
Full Name | Mr Charles Jeffrey Edington |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 18 County Road 458, Mountain Home, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609926229 | NPI | - | NPPES |
142156721 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTR1611 (Arkansas) | Primary |
Provider Name | Gross Therapy Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033236468 PECOS PAC ID: 5991072050 Enrollment ID: O20170522002316 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles Jeffrey Edington, OTR 48 Breckenridge Ct, Mountain Home, AR 72653-9238 Ph: (870) 656-8567 | Mr Charles Jeffrey Edington, OTR 18 County Road 458, Mountain Home, AR 72653-8212 Ph: (870) 425-5252 |
Mary Rambosek, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1310 Bradley Dr, Mountain Home, AR 72653 Phone: 870-424-4021 | |
Christopher Kohler, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 965 West Rd, Mountain Home, AR 72653 Phone: 870-834-0336 | |
Lyndsey Marriott, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 County Road 458, Mountain Home, AR 72653 Phone: 870-425-5252 | |
Talli Vance, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 860 Highway 62 E Ste 10, Mountain Home, AR 72653 Phone: 870-424-2224 Fax: 870-424-0493 | |
Mrs. Darcie Renee Reed, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 E. 9th Street, Mountain Home, AR 72653 Phone: 870-213-6545 Fax: 870-424-3208 | |
Mrs. Denise Clarke, O.T.R.L. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 360 Highway 5 N, Mountain Home, AR 72653 Phone: 870-425-2277 Fax: 870-425-2021 | |
Derek Hinson, PT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1310 Bradley Dr, Mountain Home, AR 72653 Phone: 870-424-4021 |