Amanda Maccreery Blackwelder, PT | |
105 Convention Dr, Cary, NC 27511-4595 | |
(919) 234-0440 | |
Not Available |
Full Name | Amanda Maccreery Blackwelder |
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Gender | Female |
Speciality | Physical Therapist |
Location | 105 Convention Dr, Cary, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164946323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 17352 (North Carolina) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
Mailing Address | Practice Location Address |
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Amanda Maccreery Blackwelder, PT 217 Trayesan Dr, Holly Springs, NC 27540-9437 Ph: (919) 417-1728 | Amanda Maccreery Blackwelder, PT 105 Convention Dr, Cary, NC 27511-4595 Ph: (919) 234-0440 |
Laura A Southard, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 222 Ashville Ave, Suite 20, Cary, NC 27518 Phone: 919-863-5924 Fax: 919-863-5923 | |
Dr. Debra Pastorek Bishop, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 922 Alden Bridge Dr, Cary, NC 27519 Phone: 919-306-0014 | |
Luis B Villar, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 317 Down East Pl, Cary, NC 27519 Phone: 919-656-2140 Fax: 919-656-2140 | |
Lee Spilman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3701 Nw Cary Pkwy, Suite 301, Cary, NC 27513 Phone: 919-388-0111 Fax: 919-228-3333 | |
Legacy Healthcare Services Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 750 Se Cary Pkwy, Cary, NC 27511 Phone: 919-460-9955 Fax: 919-460-9959 | |
Annette Hopkins Eaton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 750 Se Cary Pkwy, Cary, NC 27511 Phone: 919-460-9955 Fax: 919-460-9959 | |
Jana Delengowski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Crescent Grn, Cary, NC 27518 Phone: 919-852-5757 Fax: 919-859-0220 |