| Advance Therapy & Performance Center | |
|
3160 W Main St, Suite 1, Dothan, AL 36305-1185 | |
| (334) 699-2348 | |
| (334) 699-2347 |
| Full Name | Advance Therapy & Performance Center |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3160 W Main St, Dothan, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740355239 | NPI | - | NPPES |
| 515-36404 | Other | AL | BCBS OF ALABAMA |
| 515-32301 | Other | AL | BCBS OF ALABAMA |
| 515-36412 | Other | AL | BCBS OF ALABAMA |
| 515-32258 | Other | AL | BCBS OF ALABAMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Provider Name | Mark A Mashburn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811062342 PECOS PAC ID: 6406836741 Enrollment ID: I20040824000724 |
| Provider Name | Julie Harrison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295353043 PECOS PAC ID: 9234553231 Enrollment ID: I20200723001538 |
| Provider Name | Morgan Moore |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780341941 PECOS PAC ID: 4183019466 Enrollment ID: I20220323002355 |
| Provider Name | Wesley Hudson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275052946 PECOS PAC ID: 4880081884 Enrollment ID: I20220421000946 |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Therapy & Performance Center 3160 W Main St, Suite 1, Dothan, AL 36305-1185 Ph: (334) 699-2348 | Advance Therapy & Performance Center 3160 W Main St, Suite 1, Dothan, AL 36305-1185 Ph: (334) 699-2348 |
Madison Carter Pemberton, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 S Woodburn Dr, Dothan, AL 36305 Phone: 334-446-1425 | |
Charles C Outlaw, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3118 Ross Clark Cir, Dothan, AL 36303 Phone: 334-673-2242 Fax: 334-793-8191 | |
Alana Dianne Pearce, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1207 Ross Clark Cir, Dothan, AL 36301 Phone: 334-500-1150 Fax: 334-828-7125 | |
Daniel R Peters, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3160 W Main St, Suite 1, Dothan, AL 36305 Phone: 334-699-2348 Fax: 334-699-2347 | |
Sherra K Shivers, PHYSICAL THERAPY Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Main St, Suite 460, Dothan, AL 36301 Phone: 334-794-0591 Fax: 334-793-6073 | |
Malcolm Chase Murphy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 N Woodburn Dr, Dothan, AL 36303 Phone: 334-794-1000 | |
Laura Lee Homan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 345 Healthwest Dr, Dothan, AL 36303 Phone: 334-836-5423 Fax: 334-836-2287 |