Jared Wesley St Amant, | |
1129 E Marion St, Shelby, NC 28150-4843 | |
(704) 471-0001 | |
Not Available |
Full Name | Jared Wesley St Amant |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1129 E Marion St, Shelby, 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 |
---|---|---|---|
1235857590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P21468 (North Carolina) | Primary |
Provider Name | Ivyrehab North Carolina Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1629568647 PECOS PAC ID: 8820336324 Enrollment ID: O20190207001822 |
Mailing Address | Practice Location Address |
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Jared Wesley St Amant, 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: () - | Jared Wesley St Amant, 1129 E Marion St, Shelby, NC 28150-4843 Ph: (704) 471-0001 |
Curtis C Quattlebaum, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1129 E Marion St, Shelby, NC 28150 Phone: 704-471-0001 Fax: 704-471-9990 | |
Sarah Mcbride, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 Cherryville Rd, Shelby, NC 28150 Phone: 704-482-1191 | |
Kelsey L Champney, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1129 E Marion St, Shelby, NC 28150 Phone: 704-471-0001 Fax: 704-471-9990 | |
Mrs. Lacey T Carter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Delta Park Dr, Shelby, NC 28150 Phone: 704-323-2736 | |
Anita M Brennan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1129 E Marion St, Shelby, NC 28150 Phone: 704-471-0001 Fax: 704-471-0004 | |
Dr. Donald Glenn Miller Jr., PT,DPT,MS,CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1129 E Marion St, Shelby, NC 28150 Phone: 704-471-0001 Fax: 704-471-0004 | |
Allison Wilkins Ledford, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Cherryville Rd Ste A, Shelby, NC 28150 Phone: 704-484-3294 |