Maximum Potential Physical Therapy, Pllc is a medicare enrolled "Physical Therapist" provider in Jellico, Tennessee. Their current practice location is
2189 Highway 297, Jellico, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(423) 912-6085.
Maximum Potential Physical Therapy, Pllc is licensed to practice in Tennessee (license number PT0000009852) and it also participates in the medicare program. Maximum Potential Physical Therapy, Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1124435102.
Healthcare Provider's Profile
Full Name | Maximum Potential Physical Therapy, Pllc |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 2189 Highway 297, Jellico, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124435102
- Provider Enumeration Date: 07/22/2014
- Last Update Date: 07/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 7517267529
- Enrollment ID: O20160316002323
Medical Identifiers
Medical identifiers for Maximum Potential Physical Therapy, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124435102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT0000009852 (Tennessee) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Maximum Potential Physical Therapy, Pllc acts as a billing entity for following providers:
Provider Name | Walter Stephens |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1134589823 PECOS PAC ID: 3173829108 Enrollment ID: I20160414000629 |
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Provider Name | Morgan Lay |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1588094650 PECOS PAC ID: 0446556476 Enrollment ID: I20160419002834 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maximum Potential Physical Therapy, Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Maximum Potential Physical Therapy, Pllc 2189 Highway 297, Jellico, TN 37762-3416 Ph: (423) 912-6085 | Maximum Potential Physical Therapy, Pllc 2189 Highway 297, Jellico, TN 37762-3416 Ph: (423) 912-6085 |
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