| Dr Bethany A Willis, DPT | |
|
950 E County Line Rd Ste D, Ridgeland, MS 39157-1928 | |
| (601) 899-0002 | |
| Not Available |
| Full Name | Dr Bethany A Willis |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 950 E County Line Rd Ste D, Ridgeland, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962835033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT4937 (Mississippi) | Primary |
| 225100000X | Physical Therapist | PT013382 (Ohio) | Secondary |
| 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 |
| Provider Name | 5 Star Performance Center, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689150054 PECOS PAC ID: 3577815372 Enrollment ID: O20181005000948 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bethany A Willis, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 206-4158 | Dr Bethany A Willis, DPT 950 E County Line Rd Ste D, Ridgeland, MS 39157-1928 Ph: (601) 899-0002 |
Christine Antonia Shadie, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-605-8869 | |
Reneda S Watts-anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-605-8869 | |
Arthur Davis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 745 S Pear Orchard Rd, Suite 335, Ridgeland, MS 39157 Phone: 601-573-9974 | |
Joe H Smelser, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1553 | |
Kathryn Collums, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 950 E County Line Rd, Suite C, Ridgeland, MS 39157 Phone: 601-308-5117 Fax: 601-308-5103 | |
Shelby Adkins Ladner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 950 E County Line Rd Ste E, Ridgeland, MS 39157 Phone: 601-853-9747 Fax: 601-898-4761 | |
Justin Nichols, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1415 |