Tina M Logan, RPT | |
2555 Highway 78 E, Jasper, AL 35501-3433 | |
(205) 385-7919 | |
(205) 803-6458 |
Full Name | Tina M Logan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2555 Highway 78 E, Jasper, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073654778 | NPI | - | NPPES |
71-0945220 | Other | AL | EMPLOYER TAX ID |
63-1196634 | Other | AL | EMPLOYER TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH 3715 (Alabama) | Primary |
Provider Name | Drayer Physical Therapy-alabama, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023440583 PECOS PAC ID: 5395970560 Enrollment ID: O20150417000513 |
Mailing Address | Practice Location Address |
---|---|
Tina M Logan, RPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Tina M Logan, RPT 2555 Highway 78 E, Jasper, AL 35501-3433 Ph: (205) 385-7919 |
Chandler Gentz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 N Airport Rd Ste 110, Jasper, AL 35504 Phone: 205-387-3267 | |
Madison Knighton, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2555 Highway 78 E, Jasper, AL 35501 Phone: 205-385-7919 Fax: 205-803-6458 | |
Mr. Jerrod Douglas Walker, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2980 Highway 78 E, Jasper, AL 35501 Phone: 205-384-1941 Fax: 205-384-6362 | |
The Arc Of Walker County Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 910 Oakhill Rd, Jasper, AL 35504 Phone: 205-387-0564 Fax: 205-387-0568 | |
Dr. Jonathan E Gates, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2604 Heritage Dr, Jasper, AL 35504 Phone: 205-435-0884 | |
Hoyt Henry Hughie, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 Highway 78 E, Jasper, AL 35501 Phone: 205-385-7919 Fax: 205-803-6458 |