Mrs Nicole Marie Cresswell, MSPT | |
4249 Highway 411, Ste 4, Madisonville, TN 37354-1544 | |
(423) 436-0309 | |
(423) 436-0310 |
Full Name | Mrs Nicole Marie Cresswell |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 31 Years |
Location | 4249 Highway 411, Madisonville, Tennessee |
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 |
---|---|---|---|
1922048347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT0000004777 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Agilitas Usa Inc | 3375454648 | 681 |
Provider Name | Independent Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202 |
Provider Name | Agilitas Usa Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nicole Marie Cresswell, MSPT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-8930 | Mrs Nicole Marie Cresswell, MSPT 4249 Highway 411, Ste 4, Madisonville, TN 37354-1544 Ph: (423) 436-0309 |
Lance Hodge, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4249 Highway 411 Ste 4, Madisonville, TN 37354 Phone: 423-442-4034 | |
Michaela Hauer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4249 Highway 411 Ste 4, Madisonville, TN 37354 Phone: 423-442-4043 | |
Gage Kerns, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4249 Highway 411 Ste 4, Madisonville, TN 37354 Phone: 423-442-4034 | |
Justin Brown, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4249 Highway 411 Ste 4, Madisonville, TN 37354 Phone: 423-442-4034 | |
Mark Kevin Oller Viduya, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4249 Highway 411 Ste 4, Madisonville, TN 37354 Phone: 423-442-4034 Fax: 423-442-6463 | |
Zachary John Gerber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4249 Highway 411, Ste 4, Madisonville, TN 37354 Phone: 423-436-0309 Fax: 423-436-0310 |