Dr Jordan Alexander Baca, PT, DPT | |
915 Folly Rd Ste J, Charleston, SC 29412-3907 | |
(843) 203-6955 | |
(843) 805-4908 |
Full Name | Dr Jordan Alexander Baca |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 915 Folly Rd Ste J, Charleston, South Carolina |
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 |
---|---|---|---|
1831446228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6772 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Agilitas Usa Inc | 3375454648 | 681 |
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: O20151021002796 |
Mailing Address | Practice Location Address |
---|---|
Dr Jordan Alexander Baca, PT, DPT 800 Crescent Centre Dr Ste 300, Franklin, TN 37067-7285 Ph: (615) 373-1350 | Dr Jordan Alexander Baca, PT, DPT 915 Folly Rd Ste J, Charleston, SC 29412-3907 Ph: (843) 203-6955 |
Mrs. Sarah Amy Fox Maurer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Ellis Oak Dr, Charleston, SC 29412 Phone: 843-266-1540 Fax: 843-266-1567 | |
Mr. Bruce Alan Reeves, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave, Room, 3sw Wing, Charleston, SC 29425 Phone: 843-792-3481 Fax: 843-792-0724 | |
Mark L Pilon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Bishop Gadsden Way, Charleston, SC 29412 Phone: 843-406-6302 Fax: 843-406-6540 | |
Gabriel Mattson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1964 Ashley River Rd, Suite C-1, Charleston, SC 29407 Phone: 843-576-4121 Fax: 843-793-3575 | |
Pluff Mud Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1849 Capri Dr, Charleston, SC 29407 Phone: 843-270-8505 | |
Volk Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 96 Rutledge Ave Apt E, Charleston, SC 29401 Phone: 704-575-6541 | |
Dr. Caitlin Mary Keller, PT, DPT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Mcclennan Banks Dr, Charleston, SC 29401 Phone: 843-985-2128 |