Baleigh N Booker, DPT | |
4908 Great River Dr, Meridian, MS 39305-2663 | |
(601) 453-3632 | |
(601) 453-3633 |
Full Name | Baleigh N Booker |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4908 Great River Dr, Meridian, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053908749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT7024 (Mississippi) | Primary |
Provider Name | Lighthouse Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1801367883 PECOS PAC ID: 8022350727 Enrollment ID: O20190429002824 |
Provider Name | Creative Health Care Management Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508538810 PECOS PAC ID: 4385929892 Enrollment ID: O20211102003279 |
Mailing Address | Practice Location Address |
---|---|
Baleigh N Booker, DPT 1200 Corporate Drive, Suite 400, Birmingham, AL 35242 Ph: (423) 206-4158 | Baleigh N Booker, DPT 4908 Great River Dr, Meridian, MS 39305-2663 Ph: (601) 453-3632 |
Joseph B. Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4240 Fax: 601-703-9512 | |
Gabe Snow, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4240 Fax: 601-703-9512 | |
Peyton Macarthur Hamburg, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2447 47th Ct Ste F, Meridian, MS 39305 Phone: 601-917-5440 | |
Deborah Mitchell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4240 Fax: 601-703-9512 | |
Lindsay Nemanich, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3716 Ms-39, Meridian, MS 39301 Phone: 601-482-7164 | |
Gladys Mosley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2221 Highway 39 N, Meridian, MS 39301 Phone: 601-581-1191 |