| Custom Physical Therapy And Fitness | |
|
102 Hidden Pastures Dr Ste 106, Cramerton, NC 28032-1697 | |
| (563) 505-4524 | |
| Not Available |
| Full Name | Custom Physical Therapy And Fitness |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 102 Hidden Pastures Dr Ste 106, Cramerton, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063083384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kathryn E Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033235825 PECOS PAC ID: 1355448853 Enrollment ID: I20190213001489 |
| Provider Name | Marissa Medina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134723356 PECOS PAC ID: 0446663728 Enrollment ID: I20210105001884 |
| Provider Name | Nathan Tometich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144086265 PECOS PAC ID: 0840639969 Enrollment ID: I20240422001843 |
| Provider Name | Jonathan Bennett Hixson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740815786 PECOS PAC ID: 2466882626 Enrollment ID: I20240423002213 |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Physical Therapy And Fitness 102 Hidden Pastures Dr Ste 106, Cramerton, NC 28032-1697 Ph: () - | Custom Physical Therapy And Fitness 102 Hidden Pastures Dr Ste 106, Cramerton, NC 28032-1697 Ph: (563) 505-4524 |
Marcus Alexander Ivey, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Cramer Mountain Rd, Cramerton, NC 28032 Phone: 704-389-5120 | |
Caro Lamarque, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 Hidden Pastures Dr Ste 106, Cramerton, NC 28032 Phone: 704-560-6135 |