Deniele Wilson, | |
127 Edenway Dr, White House, TN 37188-8140 | |
(615) 672-8230 | |
(615) 672-8977 |
Full Name | Deniele Wilson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 127 Edenway Dr, White House, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063835320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9941 (Tennessee) | Primary |
Provider Name | Inspired Pt Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487377669 PECOS PAC ID: 6305214297 Enrollment ID: O20221128000761 |
Provider Name | Inspired Pt Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1356041149 PECOS PAC ID: 6305214297 Enrollment ID: O20230928000570 |
Mailing Address | Practice Location Address |
---|---|
Deniele Wilson, Po Box 681478, Franklin, TN 37068-1478 Ph: (615) 591-6590 | Deniele Wilson, 127 Edenway Dr, White House, TN 37188-8140 Ph: (615) 672-8230 |
Karen Fraser, BSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 127 Edenway Dr, White House, TN 37188 Phone: 615-672-8230 Fax: 615-672-8977 | |
Travis Duke, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 491 Sage Rd N Ste 1000, White House, TN 37188 Phone: 615-672-8230 Fax: 615-672-8977 | |
Mark S Vance, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 491 Sage Rd N, Ste. 1000, White House, TN 37188 Phone: 615-672-8230 Fax: 615-672-8977 | |
Progress In Motion, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 149 Raymond Hirsch Pkwy, Suite # 1, White House, TN 37188 Phone: 615-672-2977 Fax: 615-672-2979 | |
Hailey Shuttleworth, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 491 Sage Rd N Ste 1000, White House, TN 37188 Phone: 615-672-8230 Fax: 615-672-8977 | |
Independent Physical Therpay, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 642 Highway 76, White House, TN 37188 Phone: 615-672-4966 Fax: 615-672-4968 |