Healthpro Heritage Rehab & Fitness, Llc | |
960 S Charles G Seivers Blvd, Clinton, TN 37716-3882 | |
(865) 270-3178 | |
Not Available |
Full Name | Healthpro Heritage Rehab & Fitness, Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 960 S Charles G Seivers Blvd, Clinton, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376073262 | NPI | - | NPPES |
Provider Name | Valerie J Javier |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649326984 PECOS PAC ID: 4981685815 Enrollment ID: I20040602000595 |
Provider Name | Liza M Pabalate |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184873713 PECOS PAC ID: 0345221271 Enrollment ID: I20040602000674 |
Provider Name | Maria T Rosenfield |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801056106 PECOS PAC ID: 9830161512 Enrollment ID: I20040812000266 |
Provider Name | Stacey Willis |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962760066 PECOS PAC ID: 6002872173 Enrollment ID: I20041209000822 |
Provider Name | Sandra D Brewer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194777664 PECOS PAC ID: 1456304393 Enrollment ID: I20050302000965 |
Provider Name | Jessica A Stone |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023232832 PECOS PAC ID: 6800840257 Enrollment ID: I20050308001134 |
Provider Name | Maria R Datuin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649248097 PECOS PAC ID: 5991732042 Enrollment ID: I20050720001103 |
Provider Name | Erin L Murrell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316953375 PECOS PAC ID: 2163442203 Enrollment ID: I20051202000785 |
Provider Name | Jeneen N West |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205934296 PECOS PAC ID: 3971501289 Enrollment ID: I20070207000685 |
Provider Name | Rochelle Chenowith |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154495067 PECOS PAC ID: 0648279463 Enrollment ID: I20071011000022 |
Provider Name | Aniefiok Isen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578725933 PECOS PAC ID: 1557437464 Enrollment ID: I20080828000597 |
Provider Name | Joelle M Hernandez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548412513 PECOS PAC ID: 2163582073 Enrollment ID: I20081122000122 |
Provider Name | Julie A Dunn |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1790801702 PECOS PAC ID: 4183760515 Enrollment ID: I20091015000045 |
Provider Name | Abigail L Schroeppel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235446907 PECOS PAC ID: 3678733961 Enrollment ID: I20120323000221 |
Provider Name | Laura M Durfee |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1528333556 PECOS PAC ID: 3072774520 Enrollment ID: I20120411000155 |
Provider Name | Danielle F Hulgan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992084289 PECOS PAC ID: 7113174723 Enrollment ID: I20120904000064 |
Provider Name | Angela T Murphy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013267483 PECOS PAC ID: 1456502772 Enrollment ID: I20121115000069 |
Provider Name | Lindsay Z Melton |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295087807 PECOS PAC ID: 5597918524 Enrollment ID: I20121226000400 |
Provider Name | Steven Todd Freeman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942379169 PECOS PAC ID: 0042334187 Enrollment ID: I20130326000580 |
Provider Name | Adriane J Isbell |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1518179522 PECOS PAC ID: 7911158316 Enrollment ID: I20130409000188 |
Provider Name | April A Davis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801133988 PECOS PAC ID: 3577700541 Enrollment ID: I20130510000344 |
Provider Name | Wendy N Owen |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1821335647 PECOS PAC ID: 4385882802 Enrollment ID: I20130522000624 |
Provider Name | Kelechi C Ogbonnaya |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992045751 PECOS PAC ID: 1759523640 Enrollment ID: I20130805000970 |
Provider Name | Walter Bradley Wilson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649255407 PECOS PAC ID: 8921916800 Enrollment ID: I20131015002079 |
Provider Name | Kathleen Buckner |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962804070 PECOS PAC ID: 5496069908 Enrollment ID: I20150728005608 |
Provider Name | Katy Hackett |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457715872 PECOS PAC ID: 8527367994 Enrollment ID: I20160506000571 |
Provider Name | Daniel Williams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285188649 PECOS PAC ID: 7113209560 Enrollment ID: I20170120000768 |
Provider Name | Deandra M Thompson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073058210 PECOS PAC ID: 6204111263 Enrollment ID: I20170315000020 |
Provider Name | Sharda L Allen |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598172207 PECOS PAC ID: 3971888793 Enrollment ID: I20170317001427 |
Provider Name | Lashawnda D Boddie |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487810891 PECOS PAC ID: 6800172941 Enrollment ID: I20170404001609 |
Provider Name | Catherine D Bussjaeger |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053858969 PECOS PAC ID: 4789960220 Enrollment ID: I20170417001303 |
Provider Name | Dawn Keesee-bos |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164954848 PECOS PAC ID: 6204106040 Enrollment ID: I20170726003850 |
Provider Name | Stephanie Carol Crawford |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487184834 PECOS PAC ID: 2163794876 Enrollment ID: I20170815003877 |
Provider Name | Sloan W Allen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225418064 PECOS PAC ID: 0941517585 Enrollment ID: I20171003006928 |
Provider Name | Holly Layman |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720148752 PECOS PAC ID: 2062787872 Enrollment ID: I20171004002375 |
Provider Name | Kelly R Bauer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912107129 PECOS PAC ID: 6305859281 Enrollment ID: I20171017002924 |
Provider Name | Beth R Ray |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306835251 PECOS PAC ID: 1557637139 Enrollment ID: I20171026000890 |
Provider Name | Tracy L Slone |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568589984 PECOS PAC ID: 4486916475 Enrollment ID: I20180403002540 |
Provider Name | Brian M Reed |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477060788 PECOS PAC ID: 6406119726 Enrollment ID: I20180418001796 |
Provider Name | Jill L Bement |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225576788 PECOS PAC ID: 8426312737 Enrollment ID: I20180511002211 |
Provider Name | William C Owens |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760986459 PECOS PAC ID: 1254696420 Enrollment ID: I20180518000513 |
Provider Name | Tyrice Cartwright |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124316914 PECOS PAC ID: 0143585281 Enrollment ID: I20180521001615 |
Provider Name | Rebecca Henchy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548575293 PECOS PAC ID: 5496010001 Enrollment ID: I20180601001105 |
Provider Name | Ambra Brown |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316357361 PECOS PAC ID: 0143585547 Enrollment ID: I20180606002246 |
Provider Name | Mary K Painter |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1003318973 PECOS PAC ID: 8224393533 Enrollment ID: I20180606003443 |
Provider Name | Rachel L Moore |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710035274 PECOS PAC ID: 0042467656 Enrollment ID: I20180615001219 |
Provider Name | Letia M Simes |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1144736273 PECOS PAC ID: 1850646662 Enrollment ID: I20180619003580 |
Provider Name | Tracy Newman Hearn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699264812 PECOS PAC ID: 0345595021 Enrollment ID: I20180620003117 |
Provider Name | Ann Stewart |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740794015 PECOS PAC ID: 7810242468 Enrollment ID: I20180621002816 |
Provider Name | Cynthia Winter |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1699922096 PECOS PAC ID: 5496000937 Enrollment ID: I20180625000834 |
Provider Name | Robert Stewart Young |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588158281 PECOS PAC ID: 8224388491 Enrollment ID: I20180910001095 |
Provider Name | Leah Kathryn Amburn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811481930 PECOS PAC ID: 9133470297 Enrollment ID: I20180928001876 |
Provider Name | Michael Chua |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487073060 PECOS PAC ID: 3577816578 Enrollment ID: I20181022000451 |
Provider Name | Mitchell Evan Turner |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073001939 PECOS PAC ID: 9638422405 Enrollment ID: I20181024000851 |
Provider Name | Ashley Henley Sager |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376099275 PECOS PAC ID: 9234470600 Enrollment ID: I20190411002453 |
Provider Name | Bianca Wade |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710390018 PECOS PAC ID: 6204177405 Enrollment ID: I20190417001123 |
Provider Name | Brian Joseph Daniel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770981433 PECOS PAC ID: 0840532826 Enrollment ID: I20190423000291 |
Provider Name | Cheryl Ann Lombardini |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1689997702 PECOS PAC ID: 7416290655 Enrollment ID: I20190510000504 |
Provider Name | Kellie Ashe |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1275035339 PECOS PAC ID: 7315280823 Enrollment ID: I20190525000004 |
Provider Name | Lashea Nicole Lafferty |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588733505 PECOS PAC ID: 3375877541 Enrollment ID: I20190620003498 |
Provider Name | Lindsay Carter Jones |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649838517 PECOS PAC ID: 5890022297 Enrollment ID: I20190807003890 |
Provider Name | Christine Taylor |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356758510 PECOS PAC ID: 7214837467 Enrollment ID: I20190808002036 |
Provider Name | Bethany Newkirk |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1235694134 PECOS PAC ID: 7911235403 Enrollment ID: I20190821003668 |
Provider Name | Martha Manieri |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003938382 PECOS PAC ID: 6901134964 Enrollment ID: I20190828004240 |
Provider Name | Jefferson G Carlisle |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831331826 PECOS PAC ID: 6800939968 Enrollment ID: I20190909000675 |
Provider Name | Vanessa Pippin |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821538620 PECOS PAC ID: 8527398890 Enrollment ID: I20190930001813 |
Provider Name | Shannon Kate Mccord |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659888303 PECOS PAC ID: 0941531552 Enrollment ID: I20191014000721 |
Provider Name | Connie Sehorn |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1275941460 PECOS PAC ID: 6901137249 Enrollment ID: I20191017000569 |
Provider Name | Brittney King Neely |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598109738 PECOS PAC ID: 0345572848 Enrollment ID: I20191104000693 |
Provider Name | Amanda King |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790329092 PECOS PAC ID: 3274967344 Enrollment ID: I20191223002141 |
Provider Name | Tiffeny D Saleem |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326693516 PECOS PAC ID: 0244666949 Enrollment ID: I20200128001715 |
Provider Name | Gretchen H Jackson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346315835 PECOS PAC ID: 9931535044 Enrollment ID: I20200210001619 |
Provider Name | Linda Dawn Adams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841839560 PECOS PAC ID: 6507293396 Enrollment ID: I20200217000286 |
Provider Name | Brittany Lowe |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780214627 PECOS PAC ID: 1759718547 Enrollment ID: I20200217000376 |
Provider Name | Bonnie K Wagner |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1942840277 PECOS PAC ID: 7214366608 Enrollment ID: I20200406003170 |
Provider Name | Hope Nicole Dotson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669006425 PECOS PAC ID: 3173953080 Enrollment ID: I20200416002622 |
Provider Name | Judith L Ruch |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1033380928 PECOS PAC ID: 6204267743 Enrollment ID: I20200515002318 |
Provider Name | Amber Cheree Ellis-carpenter |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770005795 PECOS PAC ID: 9638500051 Enrollment ID: I20200518002974 |
Provider Name | Janise Estrella Ojeda |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831545664 PECOS PAC ID: 4981025855 Enrollment ID: I20200601001783 |
Provider Name | Allison Capps |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861901514 PECOS PAC ID: 0446672067 Enrollment ID: I20200626000693 |
Provider Name | Tracy Hennage |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1396304366 PECOS PAC ID: 2860817228 Enrollment ID: I20200731001514 |
Provider Name | Cecelia A Brown |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356478606 PECOS PAC ID: 3678999125 Enrollment ID: I20200814001742 |
Provider Name | Angela Root |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1497297147 PECOS PAC ID: 6103172093 Enrollment ID: I20200827002971 |
Provider Name | Hannah Michelle Johnson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053926113 PECOS PAC ID: 9335568476 Enrollment ID: I20200923001917 |
Provider Name | Danene L Mitchell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649359134 PECOS PAC ID: 2769637925 Enrollment ID: I20200929002683 |
Provider Name | Jessica Hopkins |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1326367541 PECOS PAC ID: 4183035397 Enrollment ID: I20201119000700 |
Provider Name | Irna Leshayne Beckham |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255588844 PECOS PAC ID: 1052723137 Enrollment ID: I20201214002625 |
Provider Name | Christin A Hagenson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821517434 PECOS PAC ID: 2668886649 Enrollment ID: I20210203000404 |
Provider Name | Danielle Julian |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1457718223 PECOS PAC ID: 0941615769 Enrollment ID: I20210209000383 |
Provider Name | Talia Rogers |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1871961763 PECOS PAC ID: 0345679916 Enrollment ID: I20210304001448 |
Provider Name | Mary Beth Bachman Street |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407408446 PECOS PAC ID: 4981010469 Enrollment ID: I20210308002005 |
Provider Name | De Keia Locascio |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1356740260 PECOS PAC ID: 1254627052 Enrollment ID: I20210311000250 |
Provider Name | Brandi Hay |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194310250 PECOS PAC ID: 9537575758 Enrollment ID: I20210311002530 |
Provider Name | Aimee Kathleen Newburry |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013195957 PECOS PAC ID: 9638585763 Enrollment ID: I20210315001712 |
Provider Name | Tracy Marie Wussow |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164802302 PECOS PAC ID: 0840609491 Enrollment ID: I20210511002160 |
Provider Name | Sharnese Danielle Thompson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881114783 PECOS PAC ID: 7214336502 Enrollment ID: I20210518001769 |
Provider Name | Pedro Valderrama |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952983157 PECOS PAC ID: 5698174217 Enrollment ID: I20210601001474 |
Provider Name | Cheryl Ann Williams |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487006193 PECOS PAC ID: 3274933361 Enrollment ID: I20210610002522 |
Provider Name | Karen Martin |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1154860211 PECOS PAC ID: 7911308358 Enrollment ID: I20210623001951 |
Provider Name | Robert Andrew Klope |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679984892 PECOS PAC ID: 7618378498 Enrollment ID: I20210630002993 |
Provider Name | Tara Rogers |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669855417 PECOS PAC ID: 9234531856 Enrollment ID: I20210706000867 |
Provider Name | Joshua Jacob Pratt |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265060610 PECOS PAC ID: 3375948029 Enrollment ID: I20210819000257 |
Provider Name | Kristen Provost |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306519368 PECOS PAC ID: 0749686624 Enrollment ID: I20210831003371 |
Provider Name | Lauren Lawrence |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720651086 PECOS PAC ID: 1355747007 Enrollment ID: I20210907000923 |
Provider Name | Mary Margaret Greeson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871991828 PECOS PAC ID: 8224435391 Enrollment ID: I20210916002514 |
Provider Name | Christina Jo Millheim |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1336817220 PECOS PAC ID: 0143618884 Enrollment ID: I20211028002013 |
Provider Name | Kimberlee Guthier |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255464152 PECOS PAC ID: 8729476361 Enrollment ID: I20211101000636 |
Provider Name | Timothy Sullivan |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467525394 PECOS PAC ID: 7911395470 Enrollment ID: I20211102002701 |
Provider Name | Jaclynn R Meert |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689062929 PECOS PAC ID: 2365830783 Enrollment ID: I20211103002284 |
Provider Name | Shad Morgheim |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053653196 PECOS PAC ID: 7618143975 Enrollment ID: I20211108000080 |
Provider Name | Angela E Farr |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1174770671 PECOS PAC ID: 8820487820 Enrollment ID: I20211112001429 |
Provider Name | Ashley Louise Deming |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881253029 PECOS PAC ID: 2466841150 Enrollment ID: I20211118001894 |
Provider Name | Sheila H Harris |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629589577 PECOS PAC ID: 5294125621 Enrollment ID: I20211129002027 |
Provider Name | Christina Marie Cooper |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558028241 PECOS PAC ID: 4789074147 Enrollment ID: I20211130000374 |
Provider Name | Cadance Marie Lynch |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386767838 PECOS PAC ID: 5890185722 Enrollment ID: I20211207001816 |
Provider Name | Steve Michael Zill |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962601641 PECOS PAC ID: 1456742972 Enrollment ID: I20211216002626 |
Provider Name | Samantha Rae Larocca |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1104437094 PECOS PAC ID: 3577954668 Enrollment ID: I20211228001234 |
Provider Name | Heather Kitchens |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205341898 PECOS PAC ID: 7911398839 Enrollment ID: I20220103000237 |
Provider Name | Emily Grace White |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902566656 PECOS PAC ID: 0648662221 Enrollment ID: I20220111000574 |
Provider Name | Amber Alexander |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154082410 PECOS PAC ID: 2567854946 Enrollment ID: I20220114001024 |
Provider Name | Nicolette A Winchester |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841770989 PECOS PAC ID: 4284026675 Enrollment ID: I20220114001079 |
Provider Name | Kathryn L Berry |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659822336 PECOS PAC ID: 1355733668 Enrollment ID: I20220119000618 |
Provider Name | Chassidy Deshay Campbell |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548923311 PECOS PAC ID: 6901298132 Enrollment ID: I20220121000354 |
Provider Name | Jennifer Jackson Bartolotti |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1275877748 PECOS PAC ID: 5597157396 Enrollment ID: I20220127001216 |
Provider Name | Shannon Renee' Hyden |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710322169 PECOS PAC ID: 5799178497 Enrollment ID: I20220201001806 |
Provider Name | Jeremiah Prescott Ransom |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245983469 PECOS PAC ID: 4587057096 Enrollment ID: I20220204001775 |
Provider Name | Kelly Yostel |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104592831 PECOS PAC ID: 0446643407 Enrollment ID: I20220215002280 |
Provider Name | Cassaundra Sutton |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1205447646 PECOS PAC ID: 3577957406 Enrollment ID: I20220218000847 |
Provider Name | Necia D Lewis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538735451 PECOS PAC ID: 7113311861 Enrollment ID: I20220223002364 |
Provider Name | Dillon Dang |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730847625 PECOS PAC ID: 4587059571 Enrollment ID: I20220309001166 |
Provider Name | Amy Mcmahon Dorset |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164178711 PECOS PAC ID: 3678968450 Enrollment ID: I20220314000770 |
Provider Name | Adam L Collins |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114592532 PECOS PAC ID: 7719372341 Enrollment ID: I20220318000112 |
Provider Name | Jerrold Ofiana |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487293015 PECOS PAC ID: 2860821600 Enrollment ID: I20220321000876 |
Provider Name | Shelby Bearden |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1841862547 PECOS PAC ID: 9638565419 Enrollment ID: I20220404000963 |
Provider Name | Neena Vachaspati |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588313548 PECOS PAC ID: 7214323047 Enrollment ID: I20220405000102 |
Provider Name | Ashley Youmans |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386120954 PECOS PAC ID: 8123414976 Enrollment ID: I20220405001050 |
Provider Name | Julianna Bankhead |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790436293 PECOS PAC ID: 8325434814 Enrollment ID: I20220411000256 |
Provider Name | Amanda Fleming |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366616898 PECOS PAC ID: 0143505586 Enrollment ID: I20220415000035 |
Provider Name | Erin Golden |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083361141 PECOS PAC ID: 6608263405 Enrollment ID: I20220426001662 |
Provider Name | Erin Massmann |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477295160 PECOS PAC ID: 6103213822 Enrollment ID: I20220428000366 |
Provider Name | Dora Johnson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003262494 PECOS PAC ID: 2860889177 Enrollment ID: I20220504002394 |
Provider Name | Chelsey Mcfarland |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1902578263 PECOS PAC ID: 2163819434 Enrollment ID: I20220505001098 |
Provider Name | Jill Lauren Dickson |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1407590235 PECOS PAC ID: 1355728577 Enrollment ID: I20220509002461 |
Provider Name | Kimberly Paige Hackler |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376289066 PECOS PAC ID: 4385021336 Enrollment ID: I20220513001367 |
Provider Name | April Kuntz |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1770067415 PECOS PAC ID: 2860870276 Enrollment ID: I20220525001958 |
Provider Name | Lewis Asbury Ransdell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275937724 PECOS PAC ID: 7719366905 Enrollment ID: I20220617001555 |
Provider Name | Merrilyn Ashley-biggus |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1578009379 PECOS PAC ID: 2860871852 Enrollment ID: I20220622001559 |
Provider Name | Annunciata Marie-victoria Corey |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1649661109 PECOS PAC ID: 7416338306 Enrollment ID: I20220725000542 |
Provider Name | Amanda Lozano |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568191161 PECOS PAC ID: 4880075639 Enrollment ID: I20220726000105 |
Provider Name | Kathryn N Delaughter |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457873408 PECOS PAC ID: 5294117511 Enrollment ID: I20220803002630 |
Provider Name | Takisha Kayon Sanders |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497391106 PECOS PAC ID: 3779966049 Enrollment ID: I20220818003135 |
Provider Name | Nancy Lynch |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154851491 PECOS PAC ID: 5092198218 Enrollment ID: I20220819001794 |
Provider Name | Christine Alexandersen |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326267709 PECOS PAC ID: 1557745957 Enrollment ID: I20220902002262 |
Provider Name | Visheshkumar Patel |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073259792 PECOS PAC ID: 4486038601 Enrollment ID: I20220907000759 |
Provider Name | Monika Chhabra |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891039129 PECOS PAC ID: 6103200290 Enrollment ID: I20220909000415 |
Provider Name | Allegra Coggins |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1225757081 PECOS PAC ID: 4385029446 Enrollment ID: I20220910000582 |
Provider Name | Haley Pickerell |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285169391 PECOS PAC ID: 1658756549 Enrollment ID: I20220913002303 |
Provider Name | Heather Nichole Williams |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649929894 PECOS PAC ID: 6507241841 Enrollment ID: I20220922001074 |
Provider Name | Bryan Kristoffer De La Silva |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396478525 PECOS PAC ID: 5294101523 Enrollment ID: I20221012000025 |
Provider Name | Maegan Lynn Whitworth |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073231494 PECOS PAC ID: 8527442102 Enrollment ID: I20221012000900 |
Provider Name | David Dion Hayes |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558559617 PECOS PAC ID: 2668849902 Enrollment ID: I20221031000540 |
Provider Name | Kristy Ryan Calderon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124743901 PECOS PAC ID: 0244607836 Enrollment ID: I20221111000132 |
Provider Name | Amanda Jean Bivens |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194989780 PECOS PAC ID: 8123496353 Enrollment ID: I20221119000528 |
Provider Name | Sydnee Mccoy |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1861131468 PECOS PAC ID: 0749656890 Enrollment ID: I20221202002109 |
Provider Name | James Mcdermott |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1710254545 PECOS PAC ID: 8527437805 Enrollment ID: I20221208000378 |
Provider Name | James Edward Holtslag |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598268385 PECOS PAC ID: 7012386725 Enrollment ID: I20221219002156 |
Provider Name | Pheba Santhosh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700531449 PECOS PAC ID: 7315316049 Enrollment ID: I20221219002902 |
Provider Name | Kristi Lynn Krcal |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538188917 PECOS PAC ID: 0446292122 Enrollment ID: I20230104000350 |
Provider Name | Kerma S Wohlwend |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1689384307 PECOS PAC ID: 4183094154 Enrollment ID: I20230109001207 |
Provider Name | Katherine Carkhuff Miller |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982002341 PECOS PAC ID: 2466822473 Enrollment ID: I20230110000115 |
Provider Name | Christina Sue Doyle |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184952467 PECOS PAC ID: 2466823257 Enrollment ID: I20230112003055 |
Provider Name | Eleanor Leist |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205548179 PECOS PAC ID: 4385015197 Enrollment ID: I20230113000926 |
Provider Name | Matthew Steven Byron |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972229409 PECOS PAC ID: 3870964315 Enrollment ID: I20230120001482 |
Provider Name | Lisa Ann Taylor |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942413505 PECOS PAC ID: 4789055773 Enrollment ID: I20230131000736 |
Provider Name | Amber K Helps |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801073879 PECOS PAC ID: 5193197812 Enrollment ID: I20230207000191 |
Provider Name | Ciara Rangel |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1568929297 PECOS PAC ID: 5193197606 Enrollment ID: I20230209002506 |
Provider Name | Hayley Lumpkin |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053926667 PECOS PAC ID: 6800269077 Enrollment ID: I20230309000586 |
Provider Name | Elizabeth Woodley Gillentine |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366142846 PECOS PAC ID: 8426422353 Enrollment ID: I20230316000929 |
Provider Name | Alexis Buck |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1023740594 PECOS PAC ID: 2860866258 Enrollment ID: I20230327001361 |
Provider Name | Rebecca Leigh Smith |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952001760 PECOS PAC ID: 0446625420 Enrollment ID: I20230404002312 |
Provider Name | Kiel B Guin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144654526 PECOS PAC ID: 5597130575 Enrollment ID: I20230404002558 |
Provider Name | Tanya Ward |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841947843 PECOS PAC ID: 6002281334 Enrollment ID: I20230418002373 |
Provider Name | Emily A Carr |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952985038 PECOS PAC ID: 8123483476 Enrollment ID: I20230420002106 |
Provider Name | Jeri Jennings |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1003503772 PECOS PAC ID: 8628433604 Enrollment ID: I20230426001139 |
Provider Name | James Stone |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639736614 PECOS PAC ID: 0446615132 Enrollment ID: I20230502003071 |
Provider Name | Justin Oran Mcdivitt |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053613802 PECOS PAC ID: 0042676371 Enrollment ID: I20230511002673 |
Provider Name | Danielle Renee Robinson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083306880 PECOS PAC ID: 0244697688 Enrollment ID: I20230531000930 |
Provider Name | Rachel Forrest |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1689358822 PECOS PAC ID: 7517325608 Enrollment ID: I20230622000320 |
Provider Name | Theresa Nichols |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144368630 PECOS PAC ID: 0840650768 Enrollment ID: I20230724001860 |
Provider Name | Kari Snyder |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063487221 PECOS PAC ID: 9032008735 Enrollment ID: I20230802000015 |
Provider Name | Anna Smith |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316643406 PECOS PAC ID: 3971966862 Enrollment ID: I20230824003099 |
Provider Name | Rachel Mcwhorter |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1669185906 PECOS PAC ID: 2769846898 Enrollment ID: I20230907004001 |
Provider Name | James Sexton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497478176 PECOS PAC ID: 3274997267 Enrollment ID: I20230908002347 |
Provider Name | Sarah Hanna Zaka |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063197226 PECOS PAC ID: 8628423688 Enrollment ID: I20231011000425 |
Provider Name | Jensen Kate Rodenheiser |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1730960543 PECOS PAC ID: 8729434618 Enrollment ID: I20231030000869 |
Provider Name | Emilee Blosser Milne |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639954126 PECOS PAC ID: 7416303128 Enrollment ID: I20231031002799 |
Provider Name | Lydia Elizabeth Pritchett |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1699557421 PECOS PAC ID: 8820445463 Enrollment ID: I20231103001573 |
Provider Name | Dharaben Patel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962287599 PECOS PAC ID: 6800243205 Enrollment ID: I20231107000993 |
Provider Name | Jordyn Koehn |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447025309 PECOS PAC ID: 6305295809 Enrollment ID: I20231208003056 |
Provider Name | Brittany Michelle Stevens |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073386678 PECOS PAC ID: 5597114785 Enrollment ID: I20231213002204 |
Provider Name | Allie Rinehart |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689187882 PECOS PAC ID: 6406206135 Enrollment ID: I20231221001108 |
Provider Name | Melissa Moore Amrhein |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306503677 PECOS PAC ID: 0143671495 Enrollment ID: I20240110004989 |
Provider Name | John Kennedy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427690726 PECOS PAC ID: 0446681712 Enrollment ID: I20240116003556 |
Provider Name | Angela Rose Currie |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1215072533 PECOS PAC ID: 2062855281 Enrollment ID: I20240205002983 |
Provider Name | Bryan Claude Motycka |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639302722 PECOS PAC ID: 8820431976 Enrollment ID: I20240206003211 |
Provider Name | Josiedith Castaneda |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003081548 PECOS PAC ID: 0840633905 Enrollment ID: I20240206003528 |
Provider Name | Mallory Maceyak-beazley |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558769208 PECOS PAC ID: 1951745249 Enrollment ID: I20240214002540 |
Provider Name | Kimberly Michelle Musicante |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972988897 PECOS PAC ID: 8224475736 Enrollment ID: I20240320000755 |
Provider Name | Jessie Higgins |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205690385 PECOS PAC ID: 5799123147 Enrollment ID: I20240403003432 |
Provider Name | Kenneth Gene Sebrero Lacandazo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093335812 PECOS PAC ID: 6507308913 Enrollment ID: I20240612002930 |
Mailing Address | Practice Location Address |
---|---|
Healthpro Heritage Rehab & Fitness, Llc 536 Old Howell Rd, Greenville, SC 29615-1969 Ph: (864) 244-3626 | Healthpro Heritage Rehab & Fitness, Llc 960 S Charles G Seivers Blvd, Clinton, TN 37716-3882 Ph: (865) 270-3178 |
Ashton Grimm, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 | |
Beverly U Baumgardner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 Fax: 865-463-7825 | |
Dr. Brian Scott Hoppestad, EDD, MS, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 562 Mariner Point Drive, Clinton, TN 37716 Phone: 865-457-6465 Fax: 865-381-1205 | |
Mrs. Robbin Servies, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1107 N Charles G Seivers Blvd, Suite 2, Clinton, TN 37716 Phone: 865-463-0808 Fax: 865-463-8908 | |
Scott A Farmer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 Fax: 865-463-7825 | |
Colton Bradfield, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1202 N Charles G Seivers Blvd Ste A, Clinton, TN 37716 Phone: 865-457-0192 |