| Charles Edmondson, DPT | |
|
120 District Blvd Ste D102, Jackson, MS 39211-6382 | |
| (769) 204-8222 | |
| (769) 235-2751 |
| Full Name | Charles Edmondson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 120 District Blvd Ste D102, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770033987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT5987 (Mississippi) | Primary |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130219000317 |
| Provider Name | Drayer Physical Therapy Mississippi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Edmondson, DPT 800 Crescent Centre Dr Ste 300, Franklin, TN 37067-7285 Ph: (615) 373-1350 | Charles Edmondson, DPT 120 District Blvd Ste D102, Jackson, MS 39211-6382 Ph: (769) 204-8222 |
Charles David Herrington, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415 | |
Drayer Physical Therapy Mississippi Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 District Blvd Ste D102, Jackson, MS 39211 Phone: 769-204-8222 Fax: 769-235-2751 | |
Amanda B Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6250 Old Canton Rd Ste 130, Jackson, MS 39211 Phone: 601-956-7280 Fax: 601-977-6244 | |
Baptist Pt- Lymphedema Clinic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-974-6243 | |
Dr. Brianna Kayla Melisha Mcfarland, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5225 Highway 18 W, Jackson, MS 39209 Phone: 601-487-8456 | |
Byram Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 Byram Center Drive, Jackson, MS 39272 Phone: 601-502-1194 Fax: 601-502-1195 | |
Richard Rowe, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2475 Lakeland Dr Ste A, Jackson, MS 39232 Phone: 601-636-6019 Fax: 601-661-8457 |