| Robert Joseph Crochet Iii, PT, DPT | |
|
1620 Highway 11 N Ste C, Picayune, MS 39466-2070 | |
| (769) 242-2626 | |
| Not Available |
| Full Name | Robert Joseph Crochet Iii |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1620 Highway 11 N Ste C, Picayune, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821601881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10811 (Louisiana) | Secondary |
| 225100000X | Physical Therapist | PT7269 (Mississippi) | Primary |
| Provider Name | Southern Physical Therapy Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801370929 PECOS PAC ID: 6103167184 Enrollment ID: O20190402000733 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Joseph Crochet Iii, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Robert Joseph Crochet Iii, PT, DPT 1620 Highway 11 N Ste C, Picayune, MS 39466-2070 Ph: (769) 242-2626 |
Sara Dees, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 Highway 11 N Ste C, Picayune, MS 39466 Phone: 769-242-2626 Fax: 769-242-2685 | |
Adam L Robin, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1620 Highway 11 N Ste E, Picayune, MS 39466 Phone: 769-242-2626 Fax: 769-242-2685 | |
Maribeth B Ramberg, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Fifth Ave, Picayune, MS 39466 Phone: 601-798-8003 Fax: 601-798-6050 | |
Corey C Daspit, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 Highway 11 N Ste E, Picayune, MS 39466 Phone: 769-242-2626 Fax: 769-242-2685 | |
James Brian Allen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1620 Highway 11 N, Picayune, MS 39466 Phone: 769-242-2626 Fax: 769-242-2685 | |
Pearl River Rehab, P.a. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Fifth Ave, Picayune, MS 39466 Phone: 601-798-8003 Fax: 601-798-6050 | |
Mr. Samuel Ernest Landrum, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 220 S Curran Ave, Suite B, Picayune, MS 39466 Phone: 601-749-8145 Fax: 601-749-8146 |