Mrs Theresa Robinson, | |
7380 Live Oak Way, Pass Christian, MS 39571-8022 | |
(228) 452-1838 | |
Not Available |
Full Name | Mrs Theresa Robinson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 7380 Live Oak Way, Pass Christian, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326199621 | NPI | - | NPPES |
00172 | Other | LA | PHYSICAL THERAPY LICENSE |
PT0465 | Other | MS | PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT0465 (Mississippi) | Primary |
Provider Name | Encore Rehabilitation, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033218524 PECOS PAC ID: 3577462126 Enrollment ID: O20121106000516 |
Mailing Address | Practice Location Address |
---|---|
Mrs Theresa Robinson, 251 Johnston St Se, Ste 200, Decatur, AL 35601-2515 Ph: () - | Mrs Theresa Robinson, 7380 Live Oak Way, Pass Christian, MS 39571-8022 Ph: (228) 452-1838 |
Mr. Chad M Newell, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17000 Kapalama Rd., Suite B, Pass Christian, MS 39571 Phone: 228-255-6868 Fax: 228-255-6860 | |
Sports Medicine Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 17000 Kapalama Rd., Suite B., Pass Christian, MS 39571 Phone: 228-255-6868 Fax: 228-255-6860 | |
Mr. Mark Schmidt, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17000 Kapalama Rd., Suite, Pass Christian, MS 39571 Phone: 228-255-6868 Fax: 228-255-6860 | |
Janice Wiley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1053 Tina Ladner Vic Faye Rd, Pass Christian, MS 39571 Phone: 228-255-5151 |