| Advance Physical Therapy & Sports Medicine Of Lebanon, Llc | |
|
144 Evergreen Parkway, Lebanon, MO 65536-0000 | |
| (217) 222-6800 | |
| (217) 222-0037 |
| Full Name | Advance Physical Therapy & Sports Medicine Of Lebanon, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 144 Evergreen Parkway, Lebanon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356669220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kelly J Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275547861 PECOS PAC ID: 9739184862 Enrollment ID: I20060925000321 |
| Provider Name | Jennifer Lee Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306331673 PECOS PAC ID: 1850647793 Enrollment ID: I20180822002545 |
| Provider Name | Megan Smelser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902415797 PECOS PAC ID: 9830514488 Enrollment ID: I20200730001040 |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Physical Therapy & Sports Medicine Of Lebanon, Llc 144 Evergreen Parkway, Lebanon, MO 65536-0000 Ph: (217) 222-6800 | Advance Physical Therapy & Sports Medicine Of Lebanon, Llc 144 Evergreen Parkway, Lebanon, MO 65536-0000 Ph: (217) 222-6800 |
Amy Patricia Dunckel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Hospital Dr, Suite D, Lebanon, MO 65536 Phone: 417-533-6315 | |
Dalton Emerson West, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 842 Lynn St, Lebanon, MO 65536 Phone: 417-272-4384 | |
Mr. Jonathan Douglas Wayne Reagan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23510 Hwy East 32, Lebanon, MO 65536 Phone: 417-718-0712 | |
Kelly Alexander, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 144 Evergreen Pkwy, Lebanon, MO 65536 Phone: 417-991-3440 Fax: 417-991-3445 | |
Stetson Wayne Reed, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 144 Evergreen Pkwy, Lebanon, MO 65536 Phone: 417-657-8000 Fax: 877-496-3919 | |
Mrs. Chara Leigh Jensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Hospital Dr, Suite D, Lebanon, MO 65536 Phone: 417-533-6315 Fax: 417-533-6320 |