Mr Gregory Tyrone Peters, MPT | |
877 Mcrae Ave, Wadesboro, NC 28170-6491 | |
(704) 694-9604 | |
Not Available |
Full Name | Mr Gregory Tyrone Peters |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 877 Mcrae Ave, Wadesboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326252149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 20679 (Maryland) | Secondary |
225100000X | Physical Therapist | P11670 (North Carolina) | Primary |
Provider Name | Advanced Physical Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1538787510 PECOS PAC ID: 5496160814 Enrollment ID: O20210217002082 |
Mailing Address | Practice Location Address |
---|---|
Mr Gregory Tyrone Peters, MPT 877 Mcrae Ave, Wadesboro, NC 28170-6491 Ph: (704) 694-9604 | Mr Gregory Tyrone Peters, MPT 877 Mcrae Ave, Wadesboro, NC 28170-6491 Ph: (704) 694-9604 |
Eumir Juno Cruz Mayor, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2051 Country Club Rd, Wadesboro, NC 28170 Phone: 704-694-4106 | |
Kristina Marie Johnson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Morven Rd, Wadesboro, NC 28170 Phone: 704-694-6254 | |
Rizalina Bondoc, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2051 Country Club Rd, Wadesboro, NC 28170 Phone: 704-694-4106 |