| Wilson Lane Ten Pas, DPT | |
|
727 Se Main St Ste 200, Simpsonville, SC 29681-3262 | |
| (864) 999-3831 | |
| (864) 794-5411 |
| Full Name | Wilson Lane Ten Pas |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 727 Se Main St Ste 200, Simpsonville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730943739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (South Carolina) | Primary |
| Provider Name | Greenville Proaxis Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Lane Ten Pas, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Wilson Lane Ten Pas, DPT 727 Se Main St Ste 200, Simpsonville, SC 29681-3262 Ph: (864) 999-3831 |
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 |