Ms Angela T Wilson, PT | |
1010 N Jesse James Rd, Excelsior Springs, MO 64024-1202 | |
(620) 340-5085 | |
Not Available |
Full Name | Ms Angela T Wilson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1010 N Jesse James Rd, Excelsior Springs, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962629998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11-02529 (Kansas) | Secondary |
225100000X | Physical Therapist | 2009027345 (Missouri) | Primary |
Provider Name | Encore Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336896240 PECOS PAC ID: 8123403904 Enrollment ID: O20221114000295 |
Mailing Address | Practice Location Address |
---|---|
Ms Angela T Wilson, PT 1010 N Jesse James Rd, Excelsior Springs, MO 64024-1202 Ph: (620) 340-5085 | Ms Angela T Wilson, PT 1010 N Jesse James Rd, Excelsior Springs, MO 64024-1202 Ph: (620) 340-5085 |
Madeline J Hamilton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Sagamore Rd, Excelsior Springs, MO 64024 Phone: 816-824-3436 | |
Pamela Easley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1006 N Jesse James Rd, Excelsior Springs, MO 64024 Phone: 816-630-7300 | |
Christy Marker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2118 Bradford Pl, Excelsior Springs, MO 64024 Phone: 816-630-0401 | |
Tiffany N Burkeybile, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 W Broadway St, Special Services - Claim Care, Excelsior Springs, MO 64024 Phone: 816-792-3782 | |
Nichole Barber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1006 N Jesse James Rd, Excelsior Springs, MO 64024 Phone: 816-630-7300 | |
Excelsior Springs Public Schools 40 Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 W Broadway St, Excelsior Springs, MO 64024 Phone: 816-630-9200 Fax: 816-630-9207 | |
Kimberly Renee Fortuna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St, Excelsior Springs, MO 64024 Phone: 816-615-9030 |