Olivia Sanderson Gregory, DPT | |
391 Southcrest Cir, Southaven, MS 38671-6730 | |
(091) 522-7700 | |
Not Available |
Full Name | Olivia Sanderson Gregory |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 391 Southcrest Cir, Southaven, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770266785 | NPI | - | NPPES |
200006016 | Medicaid | MS | |
Q088576 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15300 (Tennessee) | Secondary |
225100000X | Physical Therapist | PT7612 (Mississippi) | Primary |
Provider Name | Semmes-murphey Clinic Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477571891 PECOS PAC ID: 1254235914 Enrollment ID: O20040202000867 |
Mailing Address | Practice Location Address |
---|---|
Olivia Sanderson Gregory, DPT 6325 Humphreys Blvd, Memphis, TN 38120-2300 Ph: (901) 522-7700 | Olivia Sanderson Gregory, DPT 391 Southcrest Cir, Southaven, MS 38671-6730 Ph: (091) 522-7700 |
Parker P Haberstroh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1100 Church Rd W Ste 112, Southaven, MS 38671 Phone: 662-548-3650 Fax: 662-654-8029 | |
Michael Newton Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3451 Goodman Rd E Ste 108, Southaven, MS 38672 Phone: 662-890-6953 | |
Mrs. Deborah Jill Patton, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5271 Getwell Rd, Southaven, MS 38672 Phone: 662-510-5694 | |
Mrs. Tara Elaine Burt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 Phone: 662-536-4096 Fax: 662-536-4099 | |
Ms. Jerrica Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 | |
Lacey Moody, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3964 Goodman Rd E, Suite 111, Southaven, MS 38672 Phone: 662-890-6953 Fax: 662-890-6954 | |
Mrs. Jennifer Dixon Brown, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 Fax: 901-759-3216 |