| Physical Therapy Specialists Of Dothan | |
|
3118 Ross Clark Circle, Dothan, AL 36303 | |
| (334) 673-2422 | |
| (334) 673-2425 |
| Full Name | Physical Therapy Specialists Of Dothan |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3118 Ross Clark Circle, Dothan, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477647816 | NPI | - | NPPES |
| Q677 | Other | AL | BC BS OF ALABAMA GROUP # |
| 529912880 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Charles C Outlaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033168653 PECOS PAC ID: 3870549058 Enrollment ID: I20100602000004 |
| Provider Name | Justin M Fetsko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174843130 PECOS PAC ID: 6002949260 Enrollment ID: I20100809000800 |
| Provider Name | Christopher B Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699141382 PECOS PAC ID: 2961710124 Enrollment ID: I20151007003415 |
| Provider Name | Brian S Shelley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598177966 PECOS PAC ID: 1456625920 Enrollment ID: I20170921002195 |
| Provider Name | Ryan R York |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295330686 PECOS PAC ID: 3173938933 Enrollment ID: I20210209002187 |
| Provider Name | Benjamin Britton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750059382 PECOS PAC ID: 7810385671 Enrollment ID: I20211027001597 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Therapy Specialists Of Dothan 3118 Ross Clark Circle, Dothan, AL 36303 Ph: (334) 673-2422 | Physical Therapy Specialists Of Dothan 3118 Ross Clark Circle, Dothan, AL 36303 Ph: (334) 673-2422 |
Madison Carter Pemberton, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 S Woodburn Dr, Dothan, AL 36305 Phone: 334-446-1425 | |
Charles C Outlaw, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3118 Ross Clark Cir, Dothan, AL 36303 Phone: 334-673-2242 Fax: 334-793-8191 | |
Alana Dianne Pearce, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1207 Ross Clark Cir, Dothan, AL 36301 Phone: 334-500-1150 Fax: 334-828-7125 | |
Daniel R Peters, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3160 W Main St, Suite 1, Dothan, AL 36305 Phone: 334-699-2348 Fax: 334-699-2347 | |
Sherra K Shivers, PHYSICAL THERAPY Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Main St, Suite 460, Dothan, AL 36301 Phone: 334-794-0591 Fax: 334-793-6073 | |
Malcolm Chase Murphy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 N Woodburn Dr, Dothan, AL 36303 Phone: 334-794-1000 | |
Laura Lee Homan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 345 Healthwest Dr, Dothan, AL 36303 Phone: 334-836-5423 Fax: 334-836-2287 |