Phong Nguyen, DPT | |
2646 Boiling Springs Rd, Boiling Springs, SC 29316-6002 | |
(864) 345-6714 | |
Not Available |
Full Name | Phong Nguyen |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2646 Boiling Springs Rd, Boiling Springs, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255055455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Texas) | Secondary |
225100000X | Physical Therapist | 11559 (South Carolina) | Primary |
Provider Name | Greenville Proaxis Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
Mailing Address | Practice Location Address |
---|---|
Phong Nguyen, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 | Phong Nguyen, DPT 2646 Boiling Springs Rd, Boiling Springs, SC 29316-6002 Ph: (864) 345-6714 |
Meghan Lynn Kindel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2646 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-345-6714 Fax: 864-362-2176 | |
Alexandria Marie Forthaus, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 Boiling Springs Rd # G, Boiling Springs, SC 29316 Phone: 864-599-0799 | |
Valarie Blanton, Physical Therapist Medicare: Medicare Enrolled Practice Location: 113 Wild Cherry Lane, Boiling Springs, SC 29316 Phone: 864-490-8221 | |
Janine Carla Dijan Sunga, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2646 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-345-6714 | |
Brandon Roy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2752 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-210-9658 | |
Jeremaih Terry Stout, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-599-0799 |