Theodore Brooke Nelson, PT in Rogersville, MO - Medicare Physical Therapist Provider

Theodore Brooke Nelson, PT is a medicare enrolled "Physical Therapist" provider in Rogersville, Missouri. His current practice location is 5764 S Farm Road 203, Rogersville, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 844-0223.

Theodore Brooke Nelson is licensed to practice in Missouri (license number 107405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134167331.

Contact Information

	Theodore Brooke Nelson, PT
	5764 S Farm Road 203, Rogersville, MO 65742-6436
	(417) 844-0223
	(417) 864-5781

Map and Direction

Healthcare Provider's Profile

Full Name	Theodore Brooke Nelson
Gender	Male
Speciality	Physical Therapist
Location	5764 S Farm Road 203, Rogersville, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134167331
Provider Enumeration Date: 06/02/2006
Last Update Date: 08/20/2009

Medicare PECOS Information:

PECOS PAC ID: 7911945258
Enrollment ID: I20050419000106

Medical Identifiers

Medical identifiers for Theodore Brooke Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134167331	NPI	-	NPPES
485344808	Medicaid	MO
431907333	Other	MO	TRICARE
P00196731	Other	MO	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	107405 (Missouri)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore Brooke Nelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Theodore Brooke Nelson, PT Po Box 11031, Springfield, MO 65808-1031 Ph: (417) 844-0223	Theodore Brooke Nelson, PT 5764 S Farm Road 203, Rogersville, MO 65742-6436 Ph: (417) 844-0223

Reviews and Comments

Physical Therapist in Rogersville, MO

Ashley M Nimmo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 113 Johnstown Dr, Rogersville, MO 65742 Phone: 417-753-7735 Fax: 417-753-7765
Jackelyn Dawn Sapko, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1097 Indian Grove Ln, Rogersville, MO 65742 Phone: 417-766-9819 Fax: 417-753-7120
Mindy Having, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1097 Indian Grove Ln, Rogersville, MO 65742 Phone: 417-766-9819 Fax: 417-459-4932
Odilia Egbers, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1097 Indian Grove Ln, Rogersville, MO 65742 Phone: 417-766-9819
Nelson Physical Therapy And Rehab, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5764 S Farm Road 203, Rogersville, MO 65742 Phone: 417-844-0223 Fax: 417-725-4290
Jill Tillman, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 113 Johnstown Dr, Rogersville, MO 65742 Phone: 417-753-7735

Theodore Brooke Nelson, PT - Medicare Physical Therapist in Rogersville, MO