Abundant Life Physical Therapy, Llc | |
1531 Cinema Dr Ste C, Statesville, NC 28625-5403 | |
(980) 443-6070 | |
(980) 443-6070 |
Full Name | Abundant Life Physical Therapy, Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1531 Cinema Dr Ste C, Statesville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023723798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Richard Stewart |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063522647 PECOS PAC ID: 1658736756 Enrollment ID: I20230425000437 |
Mailing Address | Practice Location Address |
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Abundant Life Physical Therapy, Llc 133 Riding Trl, Mooresville, NC 28117-9165 Ph: (704) 578-1374 | Abundant Life Physical Therapy, Llc 1531 Cinema Dr Ste C, Statesville, NC 28625-5403 Ph: (980) 443-6070 |
Shannan Lawrence, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-5661 | |
Mr. Gregory W Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Baymount Dr, Statesville, NC 28625 Phone: 704-880-0688 | |
Mr. Scott M Rhodes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-7620 | |
Mrs. Denise Overcash Ray, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 889 Sherwood Ln, Statesville, NC 28677 Phone: 704-881-0088 Fax: 704-881-0087 | |
Carly Filiault, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 Van Haven Dr, Statesville, NC 28625 Phone: 704-883-9700 | |
Crystal Killian Witherspoon, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1424b Fern Creek Dr, Statesville, NC 28625 Phone: 704-872-0224 |