Beau Caviness, PT | |
550 Fieldstown Rd, Gardendale, AL 35071-2590 | |
(205) 418-1482 | |
(205) 608-5179 |
Full Name | Beau Caviness |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 550 Fieldstown Rd, Gardendale, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619733649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251S0007X | Physical Therapist - Sports | PTH11733 (Alabama) | Secondary |
225100000X | Physical Therapist | (Alabama) | Primary |
Provider Name | Ati Holdings Of Alabama Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1063952646 PECOS PAC ID: 2769756436 Enrollment ID: O20170919001462 |
Mailing Address | Practice Location Address |
---|---|
Beau Caviness, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Beau Caviness, PT 550 Fieldstown Rd, Gardendale, AL 35071-2590 Ph: (205) 418-1482 |
Drayer Physical Therapy-alabama, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 651 Main St, Suite 119, Gardendale, AL 35071 Phone: 205-608-3113 Fax: 205-608-3036 | |
Braxton Edward Clifton, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 651 Main St Ste 119, Gardendale, AL 35071 Phone: 205-608-3113 Fax: 205-608-3036 | |
Phillip Dimino Jr., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Fieldstown Rd, Gardendale, AL 35071 Phone: 205-418-1482 | |
Ms. Cynthia Layne Johnson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 Dean Dr, Gardendale, AL 35071 Phone: 205-631-8709 | |
Katherine Drake Gamble, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2215 Decatur Hwy Ste 125, Gardendale, AL 35071 Phone: 205-285-8790 Fax: 205-285-8791 | |
Mr. Chris M Allison, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 592 Fieldstown Rd Ste 108, Gardendale, AL 35071 Phone: 205-608-3606 | |
Mr. Kwasi Asare-acquah, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 651 Main St, Suite 119, Gardendale, AL 35071 Phone: 205-608-3113 Fax: 205-608-3036 |