Physical Therapy Services, P.a. | |
1975 W Elk Ave Ste 1 Elizabethton TN 37643-3787 | |
(423) 543-0073 | |
(423) 543-1277 |
Full Name | Physical Therapy Services, P.a. |
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Speciality | Clinic/Center |
Location | 1975 W Elk Ave Ste 1, Elizabethton, Tennessee |
Authorized Official Name and Position | Danny Dale Smith (PRESIDENT CEO) |
Authorized Official Contact | 4235430073 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Physical Therapy Services, P.a. 1975 W Elk Ave Ste 1 Elizabethton TN 37643-3787 Ph: (423) 543-0073 | Physical Therapy Services, P.a. 1975 W Elk Ave Ste 1 Elizabethton TN 37643-3787 Ph: (423) 543-0073 |
NPI Number | 1831109867 |
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Provider Enumeration Date | 08/09/2006 |
Last Update Date | 01/11/2021 |
Medicare PECOS PAC ID | 0840265591 |
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Medicare Enrollment ID | O20160426000671 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831109867 | NPI | - | NPPES |
4088991 | Medicaid | TN | |
0446517 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Justin Smith |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598849648 PECOS PAC ID: 9931491321 Enrollment ID: I20160705001592 |
Provider Name | Erin L Kiser |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487153276 PECOS PAC ID: 7315202975 Enrollment ID: I20180531001923 |
Provider Name | Benjamin E. Krug |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174114714 PECOS PAC ID: 9739596594 Enrollment ID: I20210324001118 |
Provider Name | Taylor D Logan |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740933266 PECOS PAC ID: 7810381001 Enrollment ID: I20220304000738 |
Provider Name | Faith R Russell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255087714 PECOS PAC ID: 2961898382 Enrollment ID: I20220411001678 |
Mountain Empire Medical And Surgical Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1503 W Elk Ave, Suite 8, Elizabethton, TN 37643 Phone: 423-542-0400 Fax: 423-542-0201 | |
Carter County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 E G St, Elizabethton, TN 37643 Phone: 423-543-2521 | |
Northeast Tennessee Medical Associates Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Rogosin Dr, Elizabethton, TN 37643 Phone: 423-542-5505 Fax: 423-542-5573 | |
James Lee Davenport Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 Pine Hill Rd, Elizabethton, TN 37643 Phone: 423-542-4189 Fax: 423-542-4181 | |
Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 W Elk Ave, Elizabethton, TN 37643 Phone: 423-431-0512 Fax: 423-722-2060 |