Mr Jacob Channing Pattengill, PT | |
240 S Mount Auburn Rd, Cape Girardeau, MO 63703-4918 | |
(573) 334-6711 | |
Not Available |
Full Name | Mr Jacob Channing Pattengill |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 240 S Mount Auburn Rd, Cape Girardeau, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194894980 | NPI | - | NPPES |
2002029012 | Other | MO | LICENSE# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Select Physical Therapy Holdings Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033179510 PECOS PAC ID: 9537076401 Enrollment ID: O20100130000234 |
Mailing Address | Practice Location Address |
---|---|
Mr Jacob Channing Pattengill, PT 1908 Sue Anne Trail, Cape Girardeau, MO 63701 Ph: (573) 334-7657 | Mr Jacob Channing Pattengill, PT 240 S Mount Auburn Rd, Cape Girardeau, MO 63703-4918 Ph: (573) 334-6711 |
Mrs. Tonya Beth Rinda, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 N Lake Dr, Cape Girardeau, MO 63701 Phone: 573-651-0829 | |
Robert Wayne Sherrill, PT, CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3047 William St, Cape Girardeau, MO 63703 Phone: 573-339-5989 Fax: 573-339-7092 | |
Mr. Matthew T Bottoms, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 N Mt Auburn Rd, Cape Girardeau, MO 63701 Phone: 573-335-7868 Fax: 573-335-8193 | |
Mr. Matthew Scott Rubel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3047 William St., Cape Girardeau, MO 63703 Phone: 573-339-5989 Fax: 573-339-7092 | |
Cheryl Wasilewski, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 240 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-334-6711 | |
Mr. Jeffrey Jospeh Thieret, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-331-5153 |