| Elevate Physical Therapy And Wellness, Llc | |
|
103 Professional Pl, Greenwood, MS 38930-2756 | |
| (662) 897-4835 | |
| Not Available |
| Full Name | Elevate Physical Therapy And Wellness, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 103 Professional Pl, Greenwood, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043945215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Amanda G Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073500054 PECOS PAC ID: 6406835545 Enrollment ID: I20040714000499 |
| Provider Name | Kathryn S.p. Fair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154558807 PECOS PAC ID: 6800932039 Enrollment ID: I20091001000449 |
| Provider Name | Robin R Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295722213 PECOS PAC ID: 3678746161 Enrollment ID: I20111028000034 |
| Provider Name | Katharine B Dale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336551746 PECOS PAC ID: 6103043336 Enrollment ID: I20140813000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Physical Therapy And Wellness, Llc 103 Professional Pl, Greenwood, MS 38930-2756 Ph: (662) 897-4835 | Elevate Physical Therapy And Wellness, Llc 103 Professional Pl, Greenwood, MS 38930-2756 Ph: (662) 897-4835 |
Jim Shaw, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 702 Highway 82 W Ste B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468 | |
Joemar R Gongon, Physical Therapist Medicare: Medicare Enrolled Practice Location: 902 Sgt John A Pittman Dr, Greenwood, MS 38930 Phone: 662-453-9173 Fax: 662-455-4933 | |
Mrs. Amanda G. Harris, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Highway 82 W, B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468 | |
Mrs. Kathryn Sloane Fair, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Highway 82 W Ste B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468 | |
Advanced Rehabilitation, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 702 Highway 82 West, Ste B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468 | |
Connie Cordell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Hwy 82w Suite B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468 |