Mr Brian Wray Smith, PHYSICAL THERAPIST | |
104 Oxford St, Martin, TN 38237-2428 | |
(731) 587-3422 | |
(731) 587-3424 |
Full Name | Mr Brian Wray Smith |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 28 Years |
Location | 104 Oxford St, Martin, Tennessee |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316945488 | NPI | - | NPPES |
4062540 | Other | TN | PHYSICAL THERAPIST |
3717871 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5110 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dynamix Physical Therapy Llc | 5193873933 | 41 |
Provider Name | The Sideline Physical Therapy |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386703395 PECOS PAC ID: 4789678665 Enrollment ID: O20040413001115 |
Provider Name | Dynamix Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669619268 PECOS PAC ID: 5193873933 Enrollment ID: O20090504000677 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian Wray Smith, PHYSICAL THERAPIST Po Box 288, Martin, TN 38237-0288 Ph: (731) 587-3422 | Mr Brian Wray Smith, PHYSICAL THERAPIST 104 Oxford St, Martin, TN 38237-2428 Ph: (731) 587-3422 |
Jacqueline Cultra Gilliam, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 904 Templeton Rd, Martin, TN 38237 Phone: 731-588-0814 Fax: 731-587-5012 | |
Mr. Wesley Russell Yates, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
Mrs. Linda A Nethery, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
The Sideline Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
Mr. Richard Mata Abad, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 118 Forest Dr., Martin, TN 38237 Phone: 931-232-4555 | |
Mrs. Janie West, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 |