| Brittany B Myczkowski, PT, DPT | |
|
2182 Gallatin Pike N, Madison, TN 37115-2004 | |
| (615) 859-7775 | |
| (615) 859-7772 |
| Full Name | Brittany B Myczkowski |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2182 Gallatin Pike N, Madison, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376958538 | NPI | - | NPPES |
| C05954 | Other | VA | GROUP MEDICARE PTAN |
| 1376958538 | Other | VA | MEDICAID QMB ONLY INDIVIDUAL PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10212 (Tennessee) | Primary |
| Provider Name | Marshfield Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Provider Name | Mchs Hospitals Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Provider Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Mailing Address | Practice Location Address |
|---|---|
| Brittany B Myczkowski, PT, DPT Po Box 681478, Franklin, TN 37068-1478 Ph: (615) 591-6590 | Brittany B Myczkowski, PT, DPT 2182 Gallatin Pike N, Madison, TN 37115-2004 Ph: (615) 859-7775 |
Grace Catherine Knight, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 94 Twin Hills Dr, Madison, TN 37115 Phone: 931-237-3418 | |
Kyle L Crow, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1210 Briarville Rd Bldg D, Madison, TN 37115 Phone: 615-612-7602 | |
Mr. Daniel Douglas Kevorkian, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Lentz Dr, # 90 B, Madison, TN 37115 Phone: 615-283-7346 | |
Olivia Theising, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2182 Gallatin Pike N, Madison, TN 37115 Phone: 615-859-7775 Fax: 615-859-7772 | |
Mrs. Kristi H Roland, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2021 Gallatin Pike N, Suite 248, Madison, TN 37115 Phone: 615-859-0351 Fax: 615-859-0354 | |
Ian Carroll, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1919 Gallatin Pike N Ste 102, Madison, TN 37115 Phone: 615-859-3852 Fax: 615-859-6712 | |
Tiffany Fergason, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2182 Gallatin Pike N, Madison, TN 37115 Phone: 615-859-7775 Fax: 615-859-7772 |