| Neolife Pt And Wellness | |
|
4016 Cassimer Ave, Diberville, MS 39540-2309 | |
| (228) 280-8120 | |
| Not Available |
| Full Name | Neolife Pt And Wellness |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4016 Cassimer Ave, Diberville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194102434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT5070 (Mississippi) | Primary |
| Provider Name | Robert R Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881945566 PECOS PAC ID: 9032422142 Enrollment ID: I20150720000204 |
| Provider Name | Shanna A Jimerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891092722 PECOS PAC ID: 3577749779 Enrollment ID: I20170502000463 |
| Provider Name | Jessika Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407372915 PECOS PAC ID: 4880960475 Enrollment ID: I20171026001534 |
| Provider Name | Byron C Steen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174014690 PECOS PAC ID: 7416200571 Enrollment ID: I20181019001160 |
| Provider Name | Jonathan H Ligori |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083105373 PECOS PAC ID: 8022363423 Enrollment ID: I20200122000089 |
| Provider Name | Tyler C Hughes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871066704 PECOS PAC ID: 6002158797 Enrollment ID: I20200611000534 |
| Provider Name | Travis A Burdick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962025700 PECOS PAC ID: 8729494000 Enrollment ID: I20210311000567 |
| Provider Name | Justin G Holt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932875887 PECOS PAC ID: 6800293499 Enrollment ID: I20210924000043 |
| Provider Name | Jeffery S Hampton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881378701 PECOS PAC ID: 3476916891 Enrollment ID: I20230831002854 |
| Provider Name | Austin Baskin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154003705 PECOS PAC ID: 4789038357 Enrollment ID: I20230930000402 |
| Provider Name | Meagan N Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437831062 PECOS PAC ID: 4486008893 Enrollment ID: I20231003002456 |
| Mailing Address | Practice Location Address |
|---|---|
| Neolife Pt And Wellness 4016 Cassimer Ave, Diberville, MS 39540-2309 Ph: (228) 280-8120 | Neolife Pt And Wellness 4016 Cassimer Ave, Diberville, MS 39540-2309 Ph: (228) 280-8120 |
Austin Baskin, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 4016 Cassimer Ave, Diberville, MS 39540 Phone: 228-280-8120 | |
Byron Cade Steen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10470 Diberville Blvd Ste H, Diberville, MS 39540 Phone: 228-280-8120 | |
Mrs. Latoya Carson Plummer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3179 Mallett Rd Ste D, Diberville, MS 39540 Phone: 228-392-4710 | |
Mrs. Kelly Rae Santine Landry, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4063 Ginger Dr, Suite C, Diberville, MS 39540 Phone: 228-354-0093 Fax: 228-354-0094 | |
Meagan Cook, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4016 Cassimer Ave, Diberville, MS 39540 Phone: 228-280-8120 | |
Dr. Melissa Rosintoski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4016 Cassimer Ave, Diberville, MS 39540 Phone: 228-280-8120 |