Jonathan Lee Smith, DPT | |
105 W Stone Dr, Ste 1d, Kingsport, TN 37660-3256 | |
(423) 578-1560 | |
(423) 392-7055 |
Full Name | Jonathan Lee Smith |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 105 W Stone Dr, Kingsport, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164655734 | NPI | - | NPPES |
PENDING | Medicaid | VA | |
PENDING | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT8024 (Tennessee) | Primary |
Provider Name | Holston Medical Group Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20031216000416 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Lee Smith, DPT Po Box 9, Kingsport, TN 37662-0009 Ph: (423) 857-2066 | Jonathan Lee Smith, DPT 105 W Stone Dr, Ste 1d, Kingsport, TN 37660-3256 Ph: (423) 578-1560 |
Mrs. Allene Proctor Heaton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Stone Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-5751 Fax: 423-224-5776 | |
Makaylah Darnell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Netherland Ln, Kingsport, TN 37660 Phone: 423-245-0360 | |
Gilgia Prumbs, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2408 Fort Henry Dr, Kingsport, TN 37664 Phone: 423-246-7272 Fax: 423-246-2803 | |
Dr. Emily Kristina Stubblefield, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Cassell Drive, Kingsport, TN 37660 Phone: 423-246-7240 | |
Advanced Therapy Of Kingsport Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 E Stone Dr Ste 3, Kingsport, TN 37660 Phone: 423-230-6323 | |
Mary Rebecca Mooney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Stone Dr, Kingsport, TN 37660 Phone: 423-224-5751 | |
Sarah Elizabeth Caldwell, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Stone Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-2059 |