| Tara Rae Anderson, PT, DPT | |
|
123 E Medical Ln, West Columbia, SC 29169-4813 | |
| (803) 791-2397 | |
| Not Available |
| Full Name | Tara Rae Anderson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 123 E Medical Ln, West Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568928364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501019054 (Michigan) | Primary |
| Provider Name | Lexington Health Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Rae Anderson, PT, DPT Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 935-8292 | Tara Rae Anderson, PT, DPT 123 E Medical Ln, West Columbia, SC 29169-4813 Ph: (803) 791-2397 |
William Jaimes, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2993 Sunset Blvd, West Columbia, SC 29169 Phone: 803-939-0026 | |
Progressive Physical Therapy West Columbia Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3240 Sunset Blvd, West Columbia, SC 29169 Phone: 803-796-8377 Fax: 803-796-8378 | |
Michael Brett Shealy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 100&200, West Columbia, SC 29169 Phone: 803-935-8410 Fax: 803-936-7816 | |
Physical Rehabilitation Group Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Medical Cir, West Columbia, SC 29169 Phone: 803-451-0244 Fax: 803-451-0245 | |
Physical Rehabilitation Group, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 211 Medical Cir, West Columbia, SC 29169 Phone: 803-732-5887 Fax: 803-732-5997 | |
Lauren Michelle Audlin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Sarah Dominique Meek Springer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1311 Augusta Rd, West Columbia, SC 29169 Phone: 803-926-7204 |