Nicholas Missel, DPT | |
1000 Highland Colony Pkwy Ste 2002, Ridgeland, MS 39157-2075 | |
(769) 300-1101 | |
(769) 300-1102 |
Full Name | Nicholas Missel |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1000 Highland Colony Pkwy Ste 2002, Ridgeland, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699330993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT6682 (Mississippi) | Primary |
Provider Name | Agilitas Usa Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130219000317 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Missel, DPT 800 Crescent Centre Dr Ste 300, Franklin, TN 37067-7285 Ph: (615) 416-0199 | Nicholas Missel, DPT 1000 Highland Colony Pkwy Ste 2002, Ridgeland, MS 39157-2075 Ph: (769) 300-1101 |
Christine Antonia Shadie, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-605-8869 | |
Reneda S Watts-anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-605-8869 | |
Arthur Davis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 745 S Pear Orchard Rd, Suite 335, Ridgeland, MS 39157 Phone: 601-573-9974 | |
Joe H Smelser, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1553 | |
Kathryn Collums, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 950 E County Line Rd, Suite C, Ridgeland, MS 39157 Phone: 601-308-5117 Fax: 601-308-5103 | |
Shelby Adkins Ladner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 950 E County Line Rd Ste E, Ridgeland, MS 39157 Phone: 601-853-9747 Fax: 601-898-4761 | |
Justin Nichols, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1415 |