Tyler J Nichols, PT, MPT | |
3131 Tom Austin Hwy, Springfield, TN 37172-4801 | |
(615) 382-7979 | |
(615) 382-7909 |
Full Name | Tyler J Nichols |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3131 Tom Austin Hwy, Springfield, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982967956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6357 (Tennessee) | Primary |
Provider Name | Results-ast Jv Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061 |
Mailing Address | Practice Location Address |
---|---|
Tyler J Nichols, PT, MPT 3131 Tom Austin Hwy, Springfield, TN 37172-4801 Ph: (615) 382-7979 | Tyler J Nichols, PT, MPT 3131 Tom Austin Hwy, Springfield, TN 37172-4801 Ph: (615) 382-7979 |
Ryan Salmon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 409 Northcrest Dr, Springfield, TN 37172 Phone: 615-382-3078 Fax: 615-382-2638 | |
Mary Beth Holbrook, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 409 Northcrest Dr, Springfield, TN 37172 Phone: 615-382-3078 Fax: 615-382-2638 | |
Conor Smith, BSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 409 North Crest Drive, North Crest Rehab Center, Springfield, TN 37172 Phone: 615-382-3078 Fax: 615-382-2638 | |
Connie S Purdue, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 409 North Crest Dr, North Crest Rehab Center, Springfield, TN 37172 Phone: 615-382-3078 Fax: 615-382-2638 | |
Audrey A Pinner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 409 Northcrest Dr, Springfield, TN 37172 Phone: 615-382-3078 Fax: 615-382-2638 | |
Michael Klomp, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3131 Tom Austin Hwy, Springfield, TN 37172 Phone: 615-382-7979 | |
Jessica Minard, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 514 S Brown St, Springfield, TN 37172 Phone: 615-382-0500 Fax: 615-382-0501 |