Mrs Amanda G Harris, MPT | |
702 Highway 82 W, B, Greenwood, MS 38930-5069 | |
(662) 455-5010 | |
(662) 455-5468 |
Full Name | Mrs Amanda G Harris |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 21 Years |
Location | 702 Highway 82 W, Greenwood, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073500054 | NPI | - | NPPES |
01924202 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT3651 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elevate Physical Therapy And Wellness, Llc | 6507242690 | 4 |
Provider Name | Advanced Rehabilitation, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164419222 PECOS PAC ID: 9931194693 Enrollment ID: O20040420000965 |
Provider Name | Elevate Physical Therapy And Wellness, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1043945215 PECOS PAC ID: 6507242690 Enrollment ID: O20220927001457 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda G Harris, MPT 702 Highway 82 W, B, Greenwood, MS 38930-5069 Ph: (662) 455-5010 | Mrs Amanda G Harris, MPT 702 Highway 82 W, B, Greenwood, MS 38930-5069 Ph: (662) 455-5010 |
Jim Shaw, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 702 Highway 82 W Ste B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468 | |
Joemar R Gongon, Physical Therapist Medicare: Medicare Enrolled Practice Location: 902 Sgt John A Pittman Dr, Greenwood, MS 38930 Phone: 662-453-9173 Fax: 662-455-4933 | |
Elevate Physical Therapy And Wellness, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 Professional Pl, Greenwood, MS 38930 Phone: 662-897-4835 | |
Mrs. Kathryn Sloane Fair, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Highway 82 W Ste B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468 | |
Advanced Rehabilitation, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 702 Highway 82 West, Ste B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468 | |
Connie Cordell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Hwy 82w Suite B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468 |