| Advanced Rehabilitation, Llc | |
|
702 Highway 82 West, Ste B, Greenwood, MS 38930 | |
| (662) 455-5010 | |
| (662) 455-5468 |
| Full Name | Advanced Rehabilitation, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 702 Highway 82 West, Greenwood, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164419222 | NPI | - | NPPES |
| 06528800 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (Mississippi) | Primary |
| Provider Name | Amanda G Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073500054 PECOS PAC ID: 6406835545 Enrollment ID: I20040714000499 |
| Provider Name | Michael T Nix |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932196912 PECOS PAC ID: 3476522384 Enrollment ID: I20040928000630 |
| Provider Name | Kathryn S.p. Fair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154558807 PECOS PAC ID: 6800932039 Enrollment ID: I20091001000449 |
| Provider Name | Robert C Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467740563 PECOS PAC ID: 7911178629 Enrollment ID: I20110928000680 |
| Provider Name | Dale K Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285621292 PECOS PAC ID: 7315110756 Enrollment ID: I20111101000290 |
| Provider Name | Price H Hodges |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831186980 PECOS PAC ID: 4688664519 Enrollment ID: I20111227000792 |
| Provider Name | Bryant W Lary |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366439341 PECOS PAC ID: 0042200974 Enrollment ID: I20120530000142 |
| Provider Name | John H Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881681898 PECOS PAC ID: 2961496146 Enrollment ID: I20120613000600 |
| Provider Name | Katharine B Dale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336551746 PECOS PAC ID: 6103043336 Enrollment ID: I20140813000063 |
| Provider Name | John H Walker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184262297 PECOS PAC ID: 4082040332 Enrollment ID: I20200204001640 |
| Provider Name | Jim D Shaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013632678 PECOS PAC ID: 0749657823 Enrollment ID: I20230310000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Rehabilitation, Llc 702 Highway 82 West, Ste B, Greenwood, MS 38930 Ph: (662) 455-5010 | Advanced Rehabilitation, Llc 702 Highway 82 West, Ste B, Greenwood, MS 38930 Ph: (662) 455-5010 |
Jim Shaw, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 702 Highway 82 W Ste B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468 | |
Joemar R Gongon, Physical Therapist Medicare: Medicare Enrolled Practice Location: 902 Sgt John A Pittman Dr, Greenwood, MS 38930 Phone: 662-453-9173 Fax: 662-455-4933 | |
Elevate Physical Therapy And Wellness, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 Professional Pl, Greenwood, MS 38930 Phone: 662-897-4835 | |
Mrs. Amanda G. Harris, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Highway 82 W, B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468 | |
Mrs. Kathryn Sloane Fair, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Highway 82 W Ste B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468 | |
Connie Cordell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Hwy 82w Suite B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468 |