Dr Scott Allen Tate, PT | |
400 N Pleasant Ave, Centralia, IL 62801-3056 | |
(618) 436-8641 | |
Not Available |
Full Name | Dr Scott Allen Tate |
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Gender | Male |
Speciality | Physical Therapist |
Location | 400 N Pleasant Ave, Centralia, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538818265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.026497 (Illinois) | Primary |
Provider Name | Foothills Sports Medicine & Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558318170 PECOS PAC ID: 2668457979 Enrollment ID: O20040621001886 |
Provider Name | Foothills Sports Medicine & Physical Therapy -stetson Village Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1700305596 PECOS PAC ID: 9739448143 Enrollment ID: O20180110002048 |
Mailing Address | Practice Location Address |
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Dr Scott Allen Tate, PT 400 N Pleasant Ave, Centralia, IL 62801-3056 Ph: (618) 436-8641 | Dr Scott Allen Tate, PT 400 N Pleasant Ave, Centralia, IL 62801-3056 Ph: (618) 436-8641 |
Laura Spenner, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Country View Trailer Ct, Centralia, IL 62801 Phone: 217-335-1370 | |
Beth Fadler, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8641 | |
Laura Marie Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1441 W Broadway, Centralia, IL 62801 Phone: 618-532-0810 Fax: 618-532-0812 | |
Alexandria Venhaus, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8641 | |
Kathleen Gyore, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8641 | |
Kimberly Going, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8640 |