Tracy Wilde, | |
719b Se Main St, Simpsonville, SC 29681-3237 | |
(864) 963-9229 | |
Not Available |
Full Name | Tracy Wilde |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 37 Years |
Location | 719b Se Main St, Simpsonville, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962509018 | NPI | - | NPPES |
7796338 | Other | SC | AETNA PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1509 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elite Integrated Therapy Centers Llc | 3274552716 | 69 |
Provider Name | Sports Spine & Industrial Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1093748121 PECOS PAC ID: 7012977408 Enrollment ID: O20041011000474 |
Provider Name | Elite Integrated Therapy Centers Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1184673600 PECOS PAC ID: 3274552716 Enrollment ID: O20051115000119 |
Mailing Address | Practice Location Address |
---|---|
Tracy Wilde, 719b Se Main St, Simpsonville, SC 29681-3237 Ph: () - | Tracy Wilde, 719b Se Main St, Simpsonville, SC 29681-3237 Ph: (864) 963-9229 |
Mrs. Melynda Kosmos, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Felhurst Ct, Simpsonville, SC 29681 Phone: 864-412-8900 | |
Charlotte Walter, Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Allawood Ct # 110, Simpsonville, SC 29681 Phone: 864-525-2654 | |
Rosario Gomez-ochoa, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 North Maple Street Ste10, Simpsonville, SC 29681 Phone: 864-757-9846 Fax: 864-757-9847 | |
Erin Elizabeth Parmelee, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 Plantation Dr, Simpsonville, SC 29681 Phone: 864-238-2334 | |
Katelyn Elizabeth Burn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-329-8110 | |
Holly Nichole Chittenden, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 727 Se Main St Ste 200, Simpsonville, SC 29681 Phone: 864-454-6670 | |
Accelerated Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 883 Ne Main St, Simpsonville, SC 29681 Phone: 864-962-8016 Fax: 864-962-8116 |