Brady J Church, DPT | |
6850 Us Highway 90, Suite A-04, Daphne, AL 36526-9530 | |
(251) 210-2901 | |
(251) 210-2902 |
Full Name | Brady J Church |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6850 Us Highway 90, Daphne, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881973329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 8929 (Tennessee) | Secondary |
225100000X | Physical Therapist | PTH8015 (Alabama) | Primary |
Provider Name | Gptrs Ii |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1174851984 PECOS PAC ID: 2860527108 Enrollment ID: O20160215002532 |
Mailing Address | Practice Location Address |
---|---|
Brady J Church, DPT 800 Crescent Centre Dr, Suite 600, Franklin, TN 37067-7269 Ph: (615) 373-1350 | Brady J Church, DPT 6850 Us Highway 90, Suite A-04, Daphne, AL 36526-9530 Ph: (251) 210-2901 |
Kelley Patton, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6475 Van Buren St, Suite 102, Daphne, AL 36526 Phone: 251-626-9052 Fax: 251-626-5384 | |
Steven Calloway, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Villa Dr, Daphne, AL 36526 Phone: 251-621-4431 | |
Blake Carnley, Physical Therapist Medicare: Medicare Enrolled Practice Location: 27468 World Ct, Daphne, AL 36526 Phone: 251-270-1551 | |
Tyler Berton Vaughn, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25620 Friendship Rd, Daphne, AL 36526 Phone: 251-270-1551 Fax: 251-270-1552 | |
Cynthia Jesswein Mcinnis, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 27468 World Ct, Daphne, AL 36526 Phone: 251-270-1551 | |
Sonya Robinson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27645 Highway 181 Ste R, Daphne, AL 36526 Phone: 251-308-0880 Fax: 251-308-0886 | |
Julie M Volk, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6475 Van Buren St, Ste 102, Daphne, AL 36526 Phone: 251-626-9052 Fax: 251-626-5384 |