The Sideline Physical Therapy | |
104 Oxford St, Martin, TN 38237-2428 | |
(731) 587-3422 | |
(731) 587-3424 |
Full Name | The Sideline Physical Therapy |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 104 Oxford St, Martin, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386703395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Virginia R Lattus |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215936760 PECOS PAC ID: 3476510751 Enrollment ID: I20041217000824 |
Provider Name | Brian W Smith |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316945488 PECOS PAC ID: 3577531326 Enrollment ID: I20111011000119 |
Provider Name | Wesley R Yates |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285015628 PECOS PAC ID: 8527373299 Enrollment ID: I20150811004164 |
Provider Name | Jennifer L Davis |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841448099 PECOS PAC ID: 8325469455 Enrollment ID: I20200528001198 |
Mailing Address | Practice Location Address |
---|---|
The Sideline Physical Therapy 104 Oxford St, Martin, TN 38237-2428 Ph: (731) 587-3422 | The Sideline Physical Therapy 104 Oxford St, Martin, TN 38237-2428 Ph: (731) 587-3422 |
Jacqueline Cultra Gilliam, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 904 Templeton Rd, Martin, TN 38237 Phone: 731-588-0814 Fax: 731-587-5012 | |
Mr. Wesley Russell Yates, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
Mrs. Linda A Nethery, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
Mr. Brian Wray Smith, PHYSICAL THERAPIST Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
Mr. Richard Mata Abad, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 118 Forest Dr., Martin, TN 38237 Phone: 931-232-4555 | |
Mrs. Janie West, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 |