Tara Andrade, PT, DPT | |
1650 E Booker Dairy Rd, Smithfield, NC 27577-9405 | |
(919) 938-9088 | |
(919) 938-9091 |
Full Name | Tara Andrade |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1650 E Booker Dairy Rd, Smithfield, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538793518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305213437 (Virginia) | Secondary |
225100000X | Physical Therapist | P19421 (North Carolina) | Primary |
Provider Name | Jackson Clinics Limited Partnership |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639594831 PECOS PAC ID: 2860623295 Enrollment ID: O20140423000896 |
Mailing Address | Practice Location Address |
---|---|
Tara Andrade, PT, DPT 82 Pine Hall Dr Apt 306, Clayton, NC 27527-8113 Ph: (401) 241-3565 | Tara Andrade, PT, DPT 1650 E Booker Dairy Rd, Smithfield, NC 27577-9405 Ph: (919) 938-9088 |
Tanya Josephs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 E Market St Ste 3b, Smithfield, NC 27577 Phone: 919-912-2030 | |
Elizabeth Hudson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7296 Fax: 919-938-7078 | |
Mrs. Brandon Michelle Davis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2320 Us 70 Business Hwy East, Smithfield, NC 27577 Phone: 919-934-6031 | |
Ted Graham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 North St, Smithfield, NC 27577 Phone: 919-934-1094 Fax: 919-313-1276 | |
Matthew Ryan Mcdonald, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1317 N Brightleaf Blvd Ste A, Smithfield, NC 27577 Phone: 919-300-5040 | |
Charles Patrick Lewis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1317 N Brightleaf Blvd Ste A, Smithfield, NC 27577 Phone: 919-300-5040 | |
Wanda Edwards Howell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 514 N Brightleaf Blvd, Suite 1120, Smithfield, NC 27577 Phone: 919-938-7296 Fax: 919-938-7078 |