Jeremy Bryan, DPT | |
157 Home Ave, Darlington, SC 29532-7625 | |
(843) 393-2867 | |
Not Available |
Full Name | Jeremy Bryan |
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Gender | Male |
Speciality | Physical Therapist |
Location | 157 Home Ave, Darlington, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467124578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT37509 (Florida) | Secondary |
225100000X | Physical Therapist | PT11400 (South Carolina) | Primary |
Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20130531000379 |
Mailing Address | Practice Location Address |
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Jeremy Bryan, DPT 10133 Sherrill Blvd Ste 200, Knoxville, TN 37932-3347 Ph: (865) 531-2204 | Jeremy Bryan, DPT 157 Home Ave, Darlington, SC 29532-7625 Ph: (843) 393-2867 |
Jennifer Myrick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 Cashua Ferry Rd, Darlington, SC 29532 Phone: 843-777-2250 Fax: 843-777-2051 | |
Laura Conner, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 Cashua Ferry Rd, Darlington, SC 29532 Phone: 843-777-2250 Fax: 843-777-2051 | |
Heather Renee Evans, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 157 Home Ave, Darlington, SC 29532 Phone: 843-393-2867 | |
Mary Kay Belissary, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Cashua Ferry Rd, Darlington, SC 29532 Phone: 843-777-4246 Fax: 843-777-4247 |