Mr Jon Clifford Tripod, PT, | |
900 W Kingshighway, Paragould, AR 72450-5942 | |
(870) 239-7025 | |
(870) 239-7288 |
Full Name | Mr Jon Clifford Tripod |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 900 W Kingshighway, Paragould, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861598468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1244 (Arkansas) | Primary |
225100000X | Physical Therapist | 104178 (Missouri) | Secondary |
Provider Name | Russ Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1184014987 PECOS PAC ID: 2466772447 Enrollment ID: O20150514000791 |
Mailing Address | Practice Location Address |
---|---|
Mr Jon Clifford Tripod, PT, 1457 Greene Road 607, Beech Grove, AR 72412-8883 Ph: (870) 236-9282 | Mr Jon Clifford Tripod, PT, 900 W Kingshighway, Paragould, AR 72450-5942 Ph: (870) 239-7025 |
Mrs. Natasha Lee Bailey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 West Kingshighway, Paragould, AR 72450 Phone: 870-239-7188 Fax: 870-239-7288 | |
Henry Wrinkles Foundation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6872 Highway 34 W, Paragould, AR 72450 Phone: 870-586-9229 | |
Stewart Pediatric Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 Phone: 870-476-9017 Fax: 870-362-2018 | |
Emily Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1806 Fairway Ln, Paragould, AR 72450 Phone: 870-476-5240 | |
Kyle Madden, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3501 Carriage Hill Dr, Paragould, AR 72450 Phone: 870-565-4770 Fax: 870-565-4771 | |
Mrs. Jaclyn Leann Clay, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1910 Rector Rd, Paragould, AR 72450 Phone: 870-240-8500 Fax: 870-240-8505 | |
Kelsea E Livingston, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4700 W Kingshighway, Paragould, AR 72450 Phone: 870-936-8000 Fax: 870-934-3667 |