Mr Jay M Wentworth, PT | |
145 Innovation Dr, Jackson, TN 38305-3019 | |
(731) 422-0213 | |
(731) 668-6757 |
Full Name | Mr Jay M Wentworth |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 145 Innovation Dr, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447317078 | NPI | - | NPPES |
3375781 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT6324 (Tennessee) | Primary |
Provider Name | Jackson Clinic Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962 |
Mailing Address | Practice Location Address |
---|---|
Mr Jay M Wentworth, PT Po Box 400, Jackson, TN 38302-0400 Ph: (731) 425-5752 | Mr Jay M Wentworth, PT 145 Innovation Dr, Jackson, TN 38305-3019 Ph: (731) 422-0213 |
Mrs. Misti T. Nash, PT, CWS, FACCWS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Devonshire Sq, Suite 7, Jackson, TN 38305 Phone: 731-660-5902 | |
Redden Total Therapy-south, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51 S Creek Dr, Jackson, TN 38301 Phone: 731-423-8700 Fax: 731-423-8888 | |
Mrs. Rachel Cain Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 614 Carriage House Dr, Jackson, TN 38305 Phone: 731-668-4449 | |
Mrs. Jamie Marie Borntrager, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 670 Skyline Dr, Jackson, TN 38301 Phone: 731-541-6844 Fax: 731-541-4436 | |
Josefina L Pena, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 544 Roland Ave, Jackson, TN 38301 Phone: 731-421-6950 Fax: 731-421-6999 | |
Mrs. Suzanne Josephine Lim-luy, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2782 N Highland Ave Ste A, Jackson, TN 38305 Phone: 731-664-1172 Fax: 731-664-3139 | |
Kristi Greene, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 24 Physicians Dr, Jackson, TN 38305 Phone: 731-410-2308 |