Performance Physical Therapy, Inc. | |
809 N 2nd St, Booneville, MS 38829 | |
(662) 728-7218 | |
(662) 728-7228 |
Full Name | Performance Physical Therapy, Inc. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 809 N 2nd St, Booneville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1528258811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | PT2339 (* (Not Available)) | Primary |
Provider Name | Jason P Yarber |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962705871 PECOS PAC ID: 4789868209 Enrollment ID: I20110407000620 |
Provider Name | Cora G Scott |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114791381 PECOS PAC ID: 0840649257 Enrollment ID: I20231211002814 |
Mailing Address | Practice Location Address |
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Performance Physical Therapy, Inc. 809 N 2nd St, Booneville, MS 38829-1309 Ph: (662) 728-7218 | Performance Physical Therapy, Inc. 809 N 2nd St, Booneville, MS 38829 Ph: (662) 728-7218 |
Cora G Scott, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 809 N 2nd St, Booneville, MS 38829 Phone: 662-728-7218 Fax: 662-728-7228 | |
Mr. Bradley Jeff Stephenson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2405d E Chambers Dr, Booneville, MS 38829 Phone: 662-720-7050 Fax: 662-720-7055 | |
Grady Gardner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 413 N 2nd St, Booneville, MS 38829 Phone: 662-480-4006 | |
Aaron Ford, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 809 N 2nd St, Booneville, MS 38829 Phone: 662-728-7218 Fax: 662-728-7228 | |
Julia Katie Shotts, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 413 N 2nd St, Booneville, MS 38829 Phone: 662-480-4006 Fax: 662-788-0172 |