Mr Jonathan David Blackwell, PT PHYSICAL THERAPIS | |
607 A Johnnie Dodds Blvd, Mt Pleasant, SC 29464 | |
(843) 884-7880 | |
(843) 884-6635 |
Full Name | Mr Jonathan David Blackwell |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 21 Years |
Location | 607 A Johnnie Dodds Blvd, Mt Pleasant, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124034483 | NPI | - | NPPES |
GP1753 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4780 (South Carolina) | Primary |
Provider Name | Rehabilitation Centers Of Charleston, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205842762 PECOS PAC ID: 3274638895 Enrollment ID: O20070410000358 |
Provider Name | Wave Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1346859881 PECOS PAC ID: 1850718297 Enrollment ID: O20200831000637 |
Mailing Address | Practice Location Address |
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Mr Jonathan David Blackwell, PT PHYSICAL THERAPIS Po Box 1390, Mt Pleasant, SC 29465 Ph: (843) 884-7880 | Mr Jonathan David Blackwell, PT PHYSICAL THERAPIS 607 A Johnnie Dodds Blvd, Mt Pleasant, SC 29464 Ph: (843) 884-7880 |
Lindsey K Capps, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 586 Lone Tree Dr, Mt Pleasant, SC 29464 Phone: 843-884-7880 Fax: 843-884-6635 | |
Hugh Adam Haltiwanger, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1909 N Highway 17 Ste Q, Mt Pleasant, SC 29464 Phone: 843-416-9026 | |
Mr. Joshua Christian Long, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1469 Appling Dr, Mt Pleasant, SC 29464 Phone: 843-614-7429 | |
Victoria Simon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1106 Chuck Dawley Blvd Ste 200, Mt Pleasant, SC 29464 Phone: 843-849-1551 Fax: 843-654-8846 | |
Kathryn Stark, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 900 Johnnie Dodds Blvd Ste 100, Mt Pleasant, SC 29464 Phone: 843-606-1490 | |
Ms. Shelley Birnie, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 498 Wando Park Blvd, Ste 200, Mt Pleasant, SC 29464 Phone: 843-884-1118 Fax: 843-884-2434 | |
Janie Crossland, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3409 Salterbeck St, Suite 202, Mt Pleasant, SC 29466 Phone: 843-972-0671 |