| Christopher Stan Rafacz, PT, DPT | |
|
1700 W Market St Ste F&g, Bolivar, TN 38008-1653 | |
| (731) 658-2206 | |
| (731) 659-2061 |
| Full Name | Christopher Stan Rafacz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapy |
| Experience | 4 Years |
| Location | 1700 W Market St Ste F&g, Bolivar, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902418197 | NPI | - | NPPES |
| Q029723 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05013856A (Indiana) | Secondary |
| 225100000X | Physical Therapist | 14096 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ati Holdings Of Arizona Llc | 2466732862 | 183 |
| Tucson Orthopaedic Institute Professional Corporation | 5799671905 | 93 |
| Provider Name | Tucson Orthopaedic Institute Professional Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437193265 PECOS PAC ID: 5799671905 Enrollment ID: O20040225000304 |
| Provider Name | Ati Holdings Of Arizona Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Stan Rafacz, PT, DPT Po Box 681478, Franklin, TN 37068-1478 Ph: (615) 591-6590 | Christopher Stan Rafacz, PT, DPT 1700 W Market St Ste F&g, Bolivar, TN 38008-1653 Ph: (731) 658-2206 |
Misty M Kirk, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 789 Tennessee St, 101, Bolivar, TN 38008 Phone: 731-658-2206 Fax: 731-659-2061 | |
Drew Crews, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 W Market St Ste Fandg, Bolivar, TN 38008 Phone: 731-658-2206 Fax: 731-659-2061 | |
Betty Ragon Lenoir, BSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 789 Tennessee St, Bolivar, TN 38008 Phone: 731-658-2206 Fax: 731-659-2061 | |
All Ways Therapies Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 602 Tennessee St Ste C, Bolivar, TN 38008 Phone: 888-507-1113 Fax: 901-759-1531 | |
Brittany Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 W Market St Ste E&f, Bolivar, TN 38008 Phone: 731-658-2206 | |
Keaton Overton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 W Market St Ste Fandg, Bolivar, TN 38008 Phone: 731-658-2206 | |
Jacob Huitt, Physical Therapist Medicare: Medicare Enrolled Practice Location: 789 Tennessee St Ste 101, Bolivar, TN 38008 Phone: 731-658-2206 |