| Grady Gardner, DPT | |
|
413 N 2nd St, Booneville, MS 38829-2031 | |
| (662) 480-4006 | |
| Not Available |
| Full Name | Grady Gardner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 413 N 2nd St, Booneville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245065374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7836 (Mississippi) | Primary |
| 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 | Dpti Elite Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386010718 PECOS PAC ID: 0547579401 Enrollment ID: O20151016001144 |
| 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 | Benchmark Physical Therapy Of Mississippi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811547680 PECOS PAC ID: 0840626446 Enrollment ID: O20200130000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Grady Gardner, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 777-6236 | Grady Gardner, DPT 413 N 2nd St, Booneville, MS 38829-2031 Ph: (662) 480-4006 |
Encore Rehabilitation, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 N 2nd St, Booneville, MS 38829 Phone: 662-728-7218 Fax: 662-728-7228 | |
Cora G Scott, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 809 N 2nd St, Booneville, MS 38829 Phone: 662-728-7218 Fax: 662-728-7228 | |
Mr. Bradley Jeff Stephenson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2405d E Chambers Dr, Booneville, MS 38829 Phone: 662-720-7050 Fax: 662-720-7055 | |
Aaron Ford, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 809 N 2nd St, Booneville, MS 38829 Phone: 662-728-7218 Fax: 662-728-7228 | |
Performance Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 809 N 2nd St, Booneville, MS 38829 Phone: 662-728-7218 Fax: 662-728-7228 | |
Julia Katie Shotts, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 413 N 2nd St, Booneville, MS 38829 Phone: 662-480-4006 Fax: 662-788-0172 |