Jordan Brewster, | |
1819 Sheridan Ave, Cody, WY 82414-3886 | |
(307) 587-9866 | |
Not Available |
Full Name | Jordan Brewster |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1819 Sheridan Ave, Cody, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770366908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-2314 (Wyoming) | Primary |
Provider Name | Advantage Rehab |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851419832 PECOS PAC ID: 4587577507 Enrollment ID: O20031106000506 |
Mailing Address | Practice Location Address |
---|---|
Jordan Brewster, 3116 Kent Ave, Cody, WY 82414-9202 Ph: () - | Jordan Brewster, 1819 Sheridan Ave, Cody, WY 82414-3886 Ph: (307) 587-9866 |
Nia Marie Torres, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2456 Carter Ave, Cody, WY 82414 Phone: 575-779-5895 | |
Kristen Michelle Goldberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 544 Yellowstone Ave, Cody, WY 82414 Phone: 307-587-9789 Fax: 307-587-9787 | |
Lori Grubbs Swanton, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 Sheridan Ave Ste 210, Cody, WY 82414 Phone: 307-213-9595 Fax: 307-939-2249 | |
Timothy P Stecker, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 720 Lindsay Ln, Cody, WY 82414 Phone: 307-578-1970 Fax: 307-578-1973 | |
Gail Ann Mills, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 702 Platinum Dr, Cody, WY 82414 Phone: 307-578-7883 Fax: 307-586-2350 | |
Lacy Martin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 544 Yellowstone Ave, Cody, WY 82414 Phone: 307-587-9789 Fax: 307-587-9787 | |
Adam K Johnnidis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 720 Lindsay Ln, Cody, WY 82414 Phone: 307-578-1970 |