| Jacob Sherrod, | |
|
300 Market Dr Ste 102a, Lenoir City, TN 37771-6408 | |
| (865) 988-7610 | |
| (865) 988-6636 |
| Full Name | Jacob Sherrod |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 300 Market Dr Ste 102a, Lenoir City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023720356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10756 (Tennessee) | Primary |
| Provider Name | Independent Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202 |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Sherrod, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 269-2144 | Jacob Sherrod, 300 Market Dr Ste 102a, Lenoir City, TN 37771-6408 Ph: (865) 988-7610 |
Dr. Paul J Haverbusch Iii, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 950 Highway 321 N Ste B, Lenoir City, TN 37771 Phone: 865-986-5644 Fax: 865-986-9001 | |
Daniel Davidson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 Highway 321 N Ste B, Lenoir City, TN 37771 Phone: 865-986-5644 | |
Benchmark Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Market Dr Ste 102a, Lenoir City, TN 37771 Phone: 865-988-7610 Fax: 865-988-6636 | |
Amy Mcmahon Dorset, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 423 Medical Park Dr Ste 300, Lenoir City, TN 37772 Phone: 865-271-6080 Fax: 865-271-6081 | |
Nancy Young, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 460 Medical Park Dr, Suite 105, Lenoir City, TN 37772 Phone: 865-988-3925 Fax: 865-988-6986 | |
Li Yin Chin Goode, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 576 Ft Loudoun Med Ctr Dr Ste 100a, Lenoir City, TN 37772 Phone: 865-988-8796 Fax: 865-988-8798 |