Caitlin Mims, | |
7501 Goodman Rd, Suite 1, Olive Branch, MS 38654-1951 | |
(662) 890-3382 | |
Not Available |
Full Name | Caitlin Mims |
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Gender | Female |
Speciality | Physical Therapist |
Location | 7501 Goodman Rd, Olive Branch, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518490481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5288 (Mississippi) | Primary |
Provider Name | 2083 Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1134638307 PECOS PAC ID: 4082976246 Enrollment ID: O20180328000512 |
Mailing Address | Practice Location Address |
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Caitlin Mims, 12400 High Bluff Dr, San Diego, CA 92130-3077 Ph: () - | Caitlin Mims, 7501 Goodman Rd, Suite 1, Olive Branch, MS 38654-1951 Ph: (662) 890-3382 |
Nicholas Bailey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934 | |
Tina Marie Erber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4780 Medora Dr, Olive Branch, MS 38654 Phone: 662-895-1891 | |
Exos Physical Therapy & Sports Medicine, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 205-259-3991 | |
Joshua Mark Day, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934 | |
Tarah L Rudd, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4578 Pleasant Breeze Dr, Olive Branch, MS 38654 Phone: 901-268-9759 | |
Holly Johnson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2268 Ross Rd, Olive Branch, MS 38654 Phone: 662-808-2680 Fax: 662-895-0566 | |
Blake Jordan Falconello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 662-874-5964 Fax: 662-874-5176 |