| Sports Medicine Ltd | |
|
17000 Kapalama Rd., Suite B., Pass Christian, MS 39571 | |
| (228) 255-6868 | |
| (228) 255-6860 |
| Full Name | Sports Medicine Ltd |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 17000 Kapalama Rd., Pass Christian, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184652737 | NPI | - | NPPES |
| 07508214 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Mark A. Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306877501 PECOS PAC ID: 4385695329 Enrollment ID: I20050209000724 |
| Provider Name | Chad M Newell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013945666 PECOS PAC ID: 6406878727 Enrollment ID: I20051229000390 |
| Mailing Address | Practice Location Address |
|---|---|
| Sports Medicine Ltd 17000 Kapalama Rd., Suite B, Pass Christian, MS 39571 Ph: (228) 255-6868 | Sports Medicine Ltd 17000 Kapalama Rd., Suite B., Pass Christian, MS 39571 Ph: (228) 255-6868 |
Mr. Chad M Newell, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17000 Kapalama Rd., Suite B, Pass Christian, MS 39571 Phone: 228-255-6868 Fax: 228-255-6860 | |
Mr. Mark Schmidt, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17000 Kapalama Rd., Suite, Pass Christian, MS 39571 Phone: 228-255-6868 Fax: 228-255-6860 | |
Mrs. Theresa Robinson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7380 Live Oak Way, Pass Christian, MS 39571 Phone: 228-452-1838 | |
Janice Wiley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1053 Tina Ladner Vic Faye Rd, Pass Christian, MS 39571 Phone: 228-255-5151 |