| Jackson Thomas Agosto, PT | |
|
5013 Southport Crossing Way Ste 204, Southport, NC 28461-2206 | |
| (910) 604-9550 | |
| Not Available |
| Full Name | Jackson Thomas Agosto |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5013 Southport Crossing Way Ste 204, Southport, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366278400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P23401 (North Carolina) | 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: O20130807000042 |
| Provider Name | Physical Therapy And Hand Specialists, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518382357 PECOS PAC ID: 3173756632 Enrollment ID: O20140507001830 |
| Provider Name | Drayer Physical Therapy Of North Carolina Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740605096 PECOS PAC ID: 2668695032 Enrollment ID: O20140603002655 |
| Provider Name | Benchmark Physical Therapy Of North Carolina Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356894604 PECOS PAC ID: 1052609278 Enrollment ID: O20161004000926 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Thomas Agosto, PT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (980) 277-8916 | Jackson Thomas Agosto, PT 5013 Southport Crossing Way Ste 204, Southport, NC 28461-2206 Ph: (910) 604-9550 |
Jacob Kramell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6236 | |
Logan Raichle, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5013 Southport Crossing Way Ste 204, Southport, NC 28461 Phone: 910-604-9550 | |
Michelle Lee Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 902 N Howe St, Southport, NC 28461 Phone: 910-457-4789 Fax: 910-457-5824 | |
Angela Marie Doyle, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1517 N Howe St, Southport, NC 28461 Phone: 910-519-8380 | |
Pamela R Dehne, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6357 Fax: 910-477-6357 | |
Amanda Mcearl Tilyou, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6236 Fax: 910-477-6357 | |
Mr. Nikolos William Boehmer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4330 Southport Supply Road, Suite 201, Southport, NC 28461 Phone: 910-457-0113 Fax: 910-457-0114 |