Annerussell Moore, DPT | |
128 Fayette St, Martinsville, VA 24112-2620 | |
(276) 352-4465 | |
(276) 293-1212 |
Full Name | Annerussell Moore |
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Gender | Female |
Speciality | Physical Therapist |
Location | 128 Fayette St, Martinsville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497475198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305215154 (Virginia) | Primary |
Provider Name | Acme Therapies Co |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1417475898 PECOS PAC ID: 8022384577 Enrollment ID: O20171027001022 |
Mailing Address | Practice Location Address |
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Annerussell Moore, DPT 128 Fayette St, Martinsville, VA 24112-2620 Ph: (276) 352-4465 | Annerussell Moore, DPT 128 Fayette St, Martinsville, VA 24112-2620 Ph: (276) 352-4465 |
Mr. Gary Richard Higginbotham Ii, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Blue Ridge St, Martinsville, VA 24112 Phone: 276-632-1249 | |
Mrs. Phyllis Jane Herndon, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Blue Ridge St, Martinsville, VA 24112 Phone: 276-632-1249 | |
Jeannie Marie Tatum, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Martinsville, VA 24112 Phone: 276-224-2655 | |
Harshita Aggarwal, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2700 Greensboro Rd, Martinsville, VA 24112 Phone: 276-632-1884 | |
Annette N Oreilly Green, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Starling Ave, Martinsville, VA 24112 Phone: 276-632-6001 | |
Erica Elizabeth Sule, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Kings Way Rd, Martinsville, VA 24112 Phone: 276-634-5181 | |
Wesley Louis Cody Dubose, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 301 Lavinder St, Martinsville, VA 24112 Phone: 276-632-5281 Fax: 276-632-6884 |