Professional Physical Therapy, Inc. | |
401 N Hayden St, Belzoni, MS 39038-3639 | |
(662) 247-4446 | |
(662) 247-2772 |
Full Name | Professional Physical Therapy, Inc. |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 401 N Hayden St, Belzoni, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720282247 | NPI | - | NPPES |
9016292 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT1324 (Mississippi) | Primary |
225100000X | Physical Therapist | PT3777 (Mississippi) | Secondary |
Provider Name | Michael T Nix |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932196912 PECOS PAC ID: 3476522384 Enrollment ID: I20040928000630 |
Provider Name | Price H Hodges |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831186980 PECOS PAC ID: 4688664519 Enrollment ID: I20111227000792 |
Provider Name | Bryant W Lary |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366439341 PECOS PAC ID: 0042200974 Enrollment ID: I20120530000142 |
Mailing Address | Practice Location Address |
---|---|
Professional Physical Therapy, Inc. 401 N Hayden St, Belzoni, MS 39038-3639 Ph: (662) 247-4446 | Professional Physical Therapy, Inc. 401 N Hayden St, Belzoni, MS 39038-3639 Ph: (662) 247-4446 |
Katherine Flautt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 N Hayden St, Belzoni, MS 39038 Phone: 662-247-4446 Fax: 662-247-2772 | |
Mr. Bryant W. Lary, R.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 401 N Hayden St, Belzoni, MS 39038 Phone: 662-247-4446 Fax: 662-247-2772 | |
Mabry Lynne Bailey, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Penn St, Belzoni, MS 39038 Phone: 662-820-1289 | |
Mr. Michael T. Nix, R.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 401 N Hayden St, Belzoni, MS 39038 Phone: 662-247-4446 Fax: 662-247-2772 |