| Samantha Colleen Canup, | |
|
3556 Tom Austin Hwy Ste 2, Springfield, TN 37172-3960 | |
| (615) 492-4595 | |
| (615) 432-4292 |
| Full Name | Samantha Colleen Canup |
|---|---|
| Gender | Female |
| Speciality | Physical Therapy |
| Experience | 5 Years |
| Location | 3556 Tom Austin Hwy Ste 2, Springfield, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770143190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12348 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Results-ast Jv Llc | 4486066396 | 350 |
| Provider Name | Results-ast Jv Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Colleen Canup, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Samantha Colleen Canup, 3556 Tom Austin Hwy Ste 2, Springfield, TN 37172-3960 Ph: (615) 492-4595 |
Ryan Salmon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 409 Northcrest Dr, Springfield, TN 37172 Phone: 615-382-3078 Fax: 615-382-2638 | |
Mary Beth Holbrook, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 409 Northcrest Dr, Springfield, TN 37172 Phone: 615-382-3078 Fax: 615-382-2638 | |
Conor Smith, BSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 409 North Crest Drive, North Crest Rehab Center, Springfield, TN 37172 Phone: 615-382-3078 Fax: 615-382-2638 | |
Connie S Purdue, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 409 North Crest Dr, North Crest Rehab Center, Springfield, TN 37172 Phone: 615-382-3078 Fax: 615-382-2638 | |
Audrey A Pinner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 409 Northcrest Dr, Springfield, TN 37172 Phone: 615-382-3078 Fax: 615-382-2638 | |
Michael Klomp, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3131 Tom Austin Hwy, Springfield, TN 37172 Phone: 615-382-7979 | |
Jessica Minard, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 514 S Brown St, Springfield, TN 37172 Phone: 615-382-0500 Fax: 615-382-0501 |