Mr Walter Brad Wilson, PT | |
766 Highway 46 S, Dickson, TN 37055-2556 | |
(615) 446-5121 | |
(615) 446-1357 |
Full Name | Mr Walter Brad Wilson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 766 Highway 46 S, Dickson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649255407 | NPI | - | NPPES |
446647 | Medicaid | TN | |
3144510 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1648 (Tennessee) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376073262 PECOS PAC ID: 6507832573 Enrollment ID: O20171003005084 |
Mailing Address | Practice Location Address |
---|---|
Mr Walter Brad Wilson, PT 127 Crestview Park Dr, Suite 209, Dickson, TN 37055-2855 Ph: (615) 446-5121 | Mr Walter Brad Wilson, PT 766 Highway 46 S, Dickson, TN 37055-2556 Ph: (615) 446-5121 |
Dr. Sarah Hall Rowland, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 N Charlotte St, Dickson, TN 37055 Phone: 615-446-8046 | |
Peyton Hinson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Luther Rd Ste 6, Dickson, TN 37055 Phone: 615-740-9782 Fax: 615-740-8510 | |
Rebecca Jackson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 Creekside Dr, Dickson, TN 37055 Phone: 615-446-7623 Fax: 615-446-7624 | |
David Lutz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 210 Creekside Dr, Dickson, TN 37055 Phone: 615-446-7623 | |
Results-ast Jv, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7101 Ramsey Way, Dickson, TN 37055 Phone: 615-441-2707 | |
Independent Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 143 Thornton Dr, Dickson, TN 37055 Phone: 629-235-7110 Fax: 629-255-4415 | |
Megan Shade, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Luther Rd, Suite 6, Dickson, TN 37055 Phone: 615-740-9782 Fax: 615-740-8510 |