| Tri-county Sports & Rehab | |
|
2015 N Bridge St, Elkin, NC 28621-2107 | |
| (336) 258-8252 | |
| (336) 258-8253 |
| Full Name | Tri-county Sports & Rehab |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 2015 N Bridge St, Elkin, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225541568 | NPI | - | NPPES |
| 890281H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | P4862 (North Carolina) | Primary |
| Provider Name | Ivan J Orta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598748527 PECOS PAC ID: 3870523046 Enrollment ID: I20050817000451 |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Sports & Rehab 2015 N Bridge St, Elkin, NC 28621-2107 Ph: (336) 258-8252 | Tri-county Sports & Rehab 2015 N Bridge St, Elkin, NC 28621-2107 Ph: (336) 258-8252 |
Mrs. Michelle Marsh Wells, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 164 Dillon Ave, Elkin, NC 28621 Phone: 336-366-7972 | |
Dr. Josh R Edwards, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 231 Melton Rd, Elkin, NC 28621 Phone: 336-970-0324 | |
Dr. Ivan John Orta, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2015 N Bridge St, Elkin, NC 28621 Phone: 336-258-8252 Fax: 336-258-8253 | |
Rebecca Anne Dumas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 145 Valleybrook Dr, Elkin, NC 28621 Phone: 336-466-0330 | |
Juan Carlos Inquimboy Rodriguez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Johnson Ridge Rd, Elkin, NC 28621 Phone: 336-527-7600 | |
Kenneth Michael Tuley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Johnson Ridge Rd, Elkin, NC 28621 Phone: 336-527-7638 Fax: 336-699-4615 |