Mr Daniel Wilson Headrick, PHYSICAL THERAPIST | |
149 Raymond Hirsch Pkwy, Suite #1, White House, TN 37188-4332 | |
(615) 672-2977 | |
(615) 672-2979 |
Full Name | Mr Daniel Wilson Headrick |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 149 Raymond Hirsch Pkwy, White House, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902887664 | NPI | - | NPPES |
3653687 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT0000003054 (Tennessee) | Primary |
Provider Name | Star Physical Therapy Lp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396704094 PECOS PAC ID: 5496662421 Enrollment ID: O20131001000367 |
Mailing Address | Practice Location Address |
---|---|
Mr Daniel Wilson Headrick, PHYSICAL THERAPIST Po Box 9, White House, TN 37188-0009 Ph: (615) 672-2977 | Mr Daniel Wilson Headrick, PHYSICAL THERAPIST 149 Raymond Hirsch Pkwy, Suite #1, White House, TN 37188-4332 Ph: (615) 672-2977 |
Karen Fraser, BSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 127 Edenway Dr, White House, TN 37188 Phone: 615-672-8230 Fax: 615-672-8977 | |
Deniele Wilson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 127 Edenway Dr, White House, TN 37188 Phone: 615-672-8230 Fax: 615-672-8977 | |
Travis Duke, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 491 Sage Rd N Ste 1000, White House, TN 37188 Phone: 615-672-8230 Fax: 615-672-8977 | |
Mark S Vance, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 491 Sage Rd N, Ste. 1000, White House, TN 37188 Phone: 615-672-8230 Fax: 615-672-8977 | |
Progress In Motion, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 149 Raymond Hirsch Pkwy, Suite # 1, White House, TN 37188 Phone: 615-672-2977 Fax: 615-672-2979 | |
Hailey Shuttleworth, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 491 Sage Rd N Ste 1000, White House, TN 37188 Phone: 615-672-8230 Fax: 615-672-8977 | |
Independent Physical Therpay, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 642 Highway 76, White House, TN 37188 Phone: 615-672-4966 Fax: 615-672-4968 |