Anthony Jacaruso, | |
406 Roy Martin Rd Ste 9, Gray, TN 37615-2245 | |
(423) 477-1101 | |
Not Available |
Full Name | Anthony Jacaruso |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 406 Roy Martin Rd Ste 9, Gray, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124394770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 018884-1 (New York) | Secondary |
225100000X | Physical Therapist | 14601 (Tennessee) | Primary |
Provider Name | Achieve Health And Wellness |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639474745 PECOS PAC ID: 2567644289 Enrollment ID: O20110316000630 |
Mailing Address | Practice Location Address |
---|---|
Anthony Jacaruso, 296 Jessicas Way, Johnson City, TN 37615-3079 Ph: (917) 853-9763 | Anthony Jacaruso, 406 Roy Martin Rd Ste 9, Gray, TN 37615-2245 Ph: (423) 477-1101 |
Mrs. Cydney Shea Bunn, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 406 Roy Martin Rd Ste 9, Gray, TN 37615 Phone: 423-477-1101 Fax: 423-477-1102 | |
Sarah Morgan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 152 Gray Station Rd Apt 6, Gray, TN 37615 Phone: 615-812-6591 | |
Timothy Andy Wooten, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 Roy Martin Rd, Suite 9, Gray, TN 37615 Phone: 423-477-1101 Fax: 423-477-1102 | |
Lauren Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 Roy Martin Rd Ste 9, Gray, TN 37615 Phone: 423-477-1101 | |
Lindsey Rogers, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 406 Roy Martin Rd Ste 9, Gray, TN 37615 Phone: 423-477-1101 Fax: 423-477-1102 | |
Elizabeth A Hamm, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 406 Roy Martin Rd Ste 9, Gray, TN 37615 Phone: 423-477-1101 Fax: 423-477-1102 |