Mount Olive Physical Therapy Llc | |
232 Smith Chapel Rd, Mount Olive, NC 28365-1917 | |
(919) 635-4500 | |
(919) 635-4999 |
Full Name | Mount Olive Physical Therapy Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 232 Smith Chapel Rd, Mount Olive, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841328390 | NPI | - | NPPES |
7212357 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 8724 (North Carolina) | Primary |
Provider Name | Michael A Livengood |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003896879 PECOS PAC ID: 0648362269 Enrollment ID: I20070827000650 |
Mailing Address | Practice Location Address |
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Mount Olive Physical Therapy Llc 232 Smith Chapel Rd, Mount Olive, NC 28365-1917 Ph: (919) 635-4500 | Mount Olive Physical Therapy Llc 232 Smith Chapel Rd, Mount Olive, NC 28365-1917 Ph: (919) 635-4500 |
Michael Adam Livengood, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 232 Smith Chapel Rd, Mount Olive, NC 28365 Phone: 919-635-4500 Fax: 919-635-4999 | |
Miguel Lladas, Physical Therapist Medicare: Medicare Enrolled Practice Location: 228 Smith Chapel Rd, Mount Olive, NC 28365 Phone: 919-658-9522 |