Physical Therapy Of Dyersburg Pc | |
2265 Parr Ave, Dyersburg, TN 38024-2078 | |
(731) 285-6600 | |
(731) 285-8005 |
Full Name | Physical Therapy Of Dyersburg Pc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 2265 Parr Ave, Dyersburg, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649218140 | NPI | - | NPPES |
3728055 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT0000005425 (Tennessee) | Primary |
225100000X | Physical Therapist | PT0000006115 (Tennessee) | Secondary |
Provider Name | Jerry E Presley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669414629 PECOS PAC ID: 0840241162 Enrollment ID: I20050204000639 |
Mailing Address | Practice Location Address |
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Physical Therapy Of Dyersburg Pc 2265 Parr Ave, Dyersburg, TN 38024-2078 Ph: (731) 285-6600 | Physical Therapy Of Dyersburg Pc 2265 Parr Ave, Dyersburg, TN 38024-2078 Ph: (731) 285-6600 |
Andrea Castellaw, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2035 Saint John Ave Ste 2, Dyersburg, TN 38024 Phone: 731-325-5515 Fax: 731-325-5517 | |
Drake Parker, Physical Therapist Medicare: Medicare Enrolled Practice Location: 470 Mall Blvd, Dyersburg, TN 38024 Phone: 731-259-9995 | |
Laura N Boals, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2265 Parr Ave, Dyersburg, TN 38024 Phone: 731-285-6600 Fax: 731-285-8005 | |
Whitney Greene, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 Us Highway 51 Byp W, Dyersburg, TN 38024 Phone: 731-285-5552 | |
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 Lake Rd, Dyersburg, TN 38024 Phone: 479-201-6091 | |
Amy W Staggs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Woodlawn Ave, Dyersburg, TN 38024 Phone: 731-286-1115 Fax: 731-286-0998 | |
Denise Doughty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 Mall Blvd Ste D, Dyersburg, TN 38024 Phone: 901-287-9710 |