Houston Physical Therapy And Performance Center Llc | |
101 Kyle Dr Ste 2, Houston, MS 38851-2717 | |
(662) 542-0491 | |
Not Available |
Full Name | Houston Physical Therapy And Performance Center Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 101 Kyle Dr Ste 2, Houston, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801566195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Amanda K Baker |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1437565835 PECOS PAC ID: 9739488156 Enrollment ID: I20160505001627 |
Provider Name | Clarence Wilborn Tapley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376978361 PECOS PAC ID: 6406253103 Enrollment ID: I20210923000252 |
Provider Name | Jena Kay Hood |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306296868 PECOS PAC ID: 0143698878 Enrollment ID: I20221130000652 |
Provider Name | Gladys Carla Staten |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497471635 PECOS PAC ID: 4587032214 Enrollment ID: I20221130000758 |
Provider Name | Kelli Noland |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568876779 PECOS PAC ID: 6204206436 Enrollment ID: I20230105000700 |
Provider Name | Cassandra Cook |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437571361 PECOS PAC ID: 0042685240 Enrollment ID: I20230330002731 |
Mailing Address | Practice Location Address |
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Houston Physical Therapy And Performance Center Llc 101 Kyle Dr Ste 2, Houston, MS 38851-2717 Ph: (662) 542-0491 | Houston Physical Therapy And Performance Center Llc 101 Kyle Dr Ste 2, Houston, MS 38851-2717 Ph: (662) 542-0491 |
Mrs. Regina Lynn Grimes, PT, C/NDT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 County Road 441, Houston, MS 38851 Phone: 662-231-1187 Fax: 662-448-1189 | |
Mr. Clarence Wilborn Tapley Iii, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1149 N Jackson St, Houston, MS 38851 Phone: 662-542-0491 | |
Gladys Carla Staten, Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Kyle Dr Ste 2, Houston, MS 38851 Phone: 662-794-2878 Fax: 662-456-1269 |