Mr Scottie Ray Sissom, BSPT is a
Physical Therapist based in Mcminville, Tennessee. Mr Scottie Ray Sissom is licensed to practice in Tennessee (license number 5084) and his current practice location is
825 North Chancery St, Mcminville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 474-1900.
NPI number for Mr Scottie Ray Sissom is 1699755991 and his current mailing address is Po Box 681478, Franklin, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699755991.
Healthcare Provider's Profile
| Full Name | Mr Scottie Ray Sissom |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 825 North Chancery St, Mcminville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699755991
- Provider Enumeration Date: 01/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Scottie Ray Sissom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699755991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 5084 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Scottie Ray Sissom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Scottie Ray Sissom, BSPT
Po Box 681478,
Franklin, TN 37068-1478
Ph: (866) 800-9147 | Mr Scottie Ray Sissom, BSPT
825 North Chancery St,
Mcminville, TN 37111
Ph: (931) 474-1900 |
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