Bienville Therapy, Llc | |
6300 E Lake Blvd Ste 101, Vancleave, MS 39565-6771 | |
(228) 230-2663 | |
Not Available |
Full Name | Bienville Therapy, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 6300 E Lake Blvd Ste 101, Vancleave, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720844392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Provider Name | Teresa Smith |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487855706 PECOS PAC ID: 9638158892 Enrollment ID: I20040720000589 |
Provider Name | Nancy A Lovell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598803744 PECOS PAC ID: 1355445321 Enrollment ID: I20070330000424 |
Provider Name | Brandon Cloud |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184720724 PECOS PAC ID: 0749336477 Enrollment ID: I20090922000707 |
Provider Name | Clarence Ray Quave |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336516269 PECOS PAC ID: 1658680467 Enrollment ID: I20151019000661 |
Provider Name | Tiffany Lewallen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861947376 PECOS PAC ID: 8325329469 Enrollment ID: I20170103000663 |
Provider Name | Clarissa Picard |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164971867 PECOS PAC ID: 2860774254 Enrollment ID: I20170119001575 |
Provider Name | Melissa N Hartsfield |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457894255 PECOS PAC ID: 9537442355 Enrollment ID: I20170201001781 |
Provider Name | Ophelia Abrahams |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427507037 PECOS PAC ID: 5991088718 Enrollment ID: I20170201001831 |
Provider Name | Shanna A Jimerson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891092722 PECOS PAC ID: 3577749779 Enrollment ID: I20170502000463 |
Provider Name | Carolyn C Signorine |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588139521 PECOS PAC ID: 5496009987 Enrollment ID: I20181120001275 |
Provider Name | Olivia J Hoffman |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619635026 PECOS PAC ID: 0648654798 Enrollment ID: I20220908002499 |
Provider Name | Kayla Ann Todd |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154050086 PECOS PAC ID: 5092190280 Enrollment ID: I20220926000284 |
Provider Name | Dalton L.e. Frederick |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811776701 PECOS PAC ID: 5799131090 Enrollment ID: I20231023002550 |
Provider Name | Jacqueline Truong |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013372283 PECOS PAC ID: 9133418171 Enrollment ID: I20231201001432 |
Provider Name | Christina Sciortino |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316700255 PECOS PAC ID: 5890131643 Enrollment ID: I20240314003062 |
Provider Name | Natalie Overstreet |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376306290 PECOS PAC ID: 9133566854 Enrollment ID: I20240318001424 |
Provider Name | Leigh Chiasson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174386015 PECOS PAC ID: 7719325307 Enrollment ID: I20240402000882 |
Provider Name | Jeremy Wooten |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609499946 PECOS PAC ID: 6507289444 Enrollment ID: I20240529000720 |
Provider Name | Nathaniel Lee Sexton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861747560 PECOS PAC ID: 2062657349 Enrollment ID: I20240730002204 |
Mailing Address | Practice Location Address |
---|---|
Bienville Therapy, Llc 6300 E Lake Blvd Ste 301, Vancleave, MS 39565-6771 Ph: (228) 230-2663 | Bienville Therapy, Llc 6300 E Lake Blvd Ste 101, Vancleave, MS 39565-6771 Ph: (228) 230-2663 |
Leigh Chiasson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 228-818-1200 | |
Danny Nguyen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13913 Virginia St, Vancleave, MS 39565 Phone: 228-282-9901 | |
Christina Sciortino, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 288-181-2002 | |
Natalie Overstreet, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 228-818-1200 Fax: 228-818-1209 | |
Bienville Orthopaedic Specialists, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6300 East Lake Blvd., Suite 201, Vancleave, MS 39565 Phone: 228-230-2663 Fax: 228-206-1192 | |
Dr. Jeremy Wooten, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 228-215-2240 Fax: 228-215-2241 |