Marcus Shannon King, PT ATC LAT | |
6399 Goodman Rd, Suite 108, Olive Branch, MS 38654-7070 | |
(901) 652-0413 | |
Not Available |
Full Name | Marcus Shannon King |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 27 Years |
Location | 6399 Goodman Rd, Olive Branch, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811930134 | NPI | - | NPPES |
P00190587 | Other | GA | MEDICARE RAILROAD PIN |
00125663 | Medicaid | MS | |
DC7950 | Other | GA | MEDICARE RAILROAD GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT2745 (Mississippi) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | AT0383 (Mississippi) | Secondary |
Provider Name | Advanced Physical Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467728006 PECOS PAC ID: 5597927970 Enrollment ID: O20120501000403 |
Mailing Address | Practice Location Address |
---|---|
Marcus Shannon King, PT ATC LAT 6399 Goodman Rd, Suite 108, Olive Branch, MS 38654-7070 Ph: (901) 652-0413 | Marcus Shannon King, PT ATC LAT 6399 Goodman Rd, Suite 108, Olive Branch, MS 38654-7070 Ph: (901) 652-0413 |
Nicholas Bailey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934 | |
Tina Marie Erber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4780 Medora Dr, Olive Branch, MS 38654 Phone: 662-895-1891 | |
Exos Physical Therapy & Sports Medicine, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 205-259-3991 | |
Joshua Mark Day, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934 | |
Tarah L Rudd, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4578 Pleasant Breeze Dr, Olive Branch, MS 38654 Phone: 901-268-9759 | |
Holly Johnson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2268 Ross Rd, Olive Branch, MS 38654 Phone: 662-808-2680 Fax: 662-895-0566 | |
Blake Jordan Falconello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 662-874-5964 Fax: 662-874-5176 |