Ms Corrie Martin Large, PT, DPT | |
9408 Apison Pike Ste 150, Ooltewah, TN 37363 | |
(423) 396-3004 | |
(423) 396-3005 |
Full Name | Ms Corrie Martin Large |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 9408 Apison Pike Ste 150, Ooltewah, 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 |
---|---|---|---|
1205172889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT011068 (Georgia) | Secondary |
225100000X | Physical Therapist | 9489 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcm Rehabilitation Llc | 5294798336 | 47 |
Provider Name | Mcm Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1538226840 PECOS PAC ID: 5294798336 Enrollment ID: O20110613000508 |
Mailing Address | Practice Location Address |
---|---|
Ms Corrie Martin Large, PT, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Ms Corrie Martin Large, PT, DPT 9408 Apison Pike Ste 150, Ooltewah, TN 37363 Ph: (423) 396-3004 |
Logan Sims, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4957 Swinyar Dr Ste 103, Ooltewah, TN 37363 Phone: 423-664-0800 Fax: 423-664-0801 | |
Jill Stone, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9380 Bradmore Ln Ste 100, Ooltewah, TN 37363 Phone: 423-842-9322 Fax: 866-591-0619 | |
Tawnya Ezra, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5948 Howe Ln, Ooltewah, TN 37363 Phone: 423-238-9444 | |
Benchmark Physical Therapy Of Va, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 8823 Production Ln, Ooltewah, TN 37363 Phone: 423-238-7217 Fax: 423-238-3473 | |
Kristen Vogelbein, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9408 Apison Pike Ste 150, Ooltewah, TN 37363 Phone: 423-396-3004 Fax: 423-396-3005 | |
Mrs. Twyla Cecilia Aasheim, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6711 Mountain View Rd, Suite 115, Ooltewah, TN 37363 Phone: 423-238-1127 Fax: 423-238-1277 | |
Allen Tyler Nance, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8823 Production Ln, Ooltewah, TN 37363 Phone: 423-238-7217 Fax: 423-238-3473 |