Madison Warren Nichols, PT, DPT | |
2846 Moody Pkwy Ste 200, Moody, AL 35004-3329 | |
(205) 640-0257 | |
(205) 640-0285 |
Full Name | Madison Warren Nichols |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2846 Moody Pkwy Ste 200, Moody, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225757388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH10987 (Alabama) | Primary |
Provider Name | Benchmark Physical Therapy Of Alabama, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659642916 PECOS PAC ID: 5698930444 Enrollment ID: O20120629000400 |
Mailing Address | Practice Location Address |
---|---|
Madison Warren Nichols, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Madison Warren Nichols, PT, DPT 2846 Moody Pkwy Ste 200, Moody, AL 35004-3329 Ph: (205) 640-0257 |
Anne Claire Craig, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2846 Moody Pkwy Ste 200, Moody, AL 35004 Phone: 205-640-0257 Fax: 205-640-0285 | |
Brandon Wayde Bunch, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2846 Moody Pkwy, Ste 200, Moody, AL 35004 Phone: 205-640-4881 Fax: 205-640-4882 | |
Phillip Heath Stewart, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2846 Moody Pkwy Ste 200, Moody, AL 35004 Phone: 205-640-0257 Fax: 205-640-0285 | |
Wendy C Nelson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2846 Moody Pkwy, Ste 200, Moody, AL 35004 Phone: 205-640-4881 Fax: 205-640-4882 | |
Christopher Scott Baker, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2846 Moody Pkwy Ste 200, Moody, AL 35004 Phone: 205-640-0257 Fax: 205-640-0285 | |
Benchmark Pt - Moody Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2846 Moody Pkwy Ste 200, Moody, AL 35004 Phone: 205-640-0257 Fax: 205-640-0285 |