Tara Mitchell, DPT | |
123 Battlefield Crossing Ct, Ringgold, GA 30736-5176 | |
(706) 861-8775 | |
Not Available |
Full Name | Tara Mitchell |
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Gender | Female |
Speciality | Physical Therapist |
Location | 123 Battlefield Crossing Ct, Ringgold, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326457649 | NPI | - | NPPES |
007866 | Other | MA | UNITED HEALTHCARE/OPTUM |
110101155A | Medicaid | MA | |
860036 | Other | MA | TUFTS COMMERCIAL PLANS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 21313 (Massachusetts) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Performance Rehabilitation Of Western New England Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1710919063 PECOS PAC ID: 7911979950 Enrollment ID: O20040810000712 |
Provider Name | Bay State Physical Therapy Of Randolph Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187 |
Mailing Address | Practice Location Address |
---|---|
Tara Mitchell, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () - | Tara Mitchell, DPT 123 Battlefield Crossing Ct, Ringgold, GA 30736-5176 Ph: (706) 861-8775 |
Emily R Dearing, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 97 Gateway Business Park Dr, Ringgold, GA 30736 Phone: 706-937-5771 | |
Leeann Schober, Physical Therapist Medicare: Medicare Enrolled Practice Location: 97 Gateway Business Park Dr, Ringgold, GA 30736 Phone: 706-937-5771 | |
Morgan Gibbs, Physical Therapist Medicare: Medicare Enrolled Practice Location: 97 Gateway Business Park Dr, Ringgold, GA 30736 Phone: 706-937-5771 | |
Dr. Haley Alicia Egesdahl, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 695 Castleview Dr, Ringgold, GA 30736 Phone: 706-616-3592 | |
Amy Colvin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 123 Battlefield Crossing Ct, Ringgold, GA 30736 Phone: 706-861-8775 Fax: 706-861-8785 | |
Athena Leigh Magdaong, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6986 Nashville St, Ringgold, GA 30736 Phone: 423-778-8374 | |
Matthew Tyler Douglas, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 97 Gateway Business Park Dr, Ringgold, GA 30736 Phone: 706-937-5771 Fax: 706-937-3724 |