Mrs Jordan Manning Pack, OTR/L | |
4715 Whitesburg Dr Se, Huntsville, AL 35802-1649 | |
(256) 705-4139 | |
Not Available |
Full Name | Mrs Jordan Manning Pack |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 9 Years |
Location | 4715 Whitesburg Dr Se, Huntsville, Alabama |
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 |
---|---|---|---|
1588027387 | NPI | - | NPPES |
4169 | Other | AL | OCCUPATIONAL THERAPIST LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4169 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Encore Rehabilitation, Inc | 3577462126 | 150 |
Sportsmed Orthopaedic Specialists | 7214903723 | 77 |
Provider Name | Sportsmed Orthopaedic Specialists |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508947839 PECOS PAC ID: 7214903723 Enrollment ID: O20040907000749 |
Provider Name | Encore Rehabilitation, Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1003819608 PECOS PAC ID: 3577462126 Enrollment ID: O20051103001194 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jordan Manning Pack, OTR/L 127 Madelyn Dr, Meridianville, AL 35759-1533 Ph: (256) 468-7384 | Mrs Jordan Manning Pack, OTR/L 4715 Whitesburg Dr Se, Huntsville, AL 35802-1649 Ph: (256) 705-4139 |
Pamela L Cook, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2061 Poole Drive, Huntsville, AL 35810 Phone: 256-424-6500 | |
Kaitlin Terry, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 927 Franklin St Se, 2nd Floor, Huntsville, AL 35801 Phone: 256-428-3000 Fax: 256-428-3003 | |
Lisa Holloway, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 Meridian St N, Huntsville, AL 35811 Phone: 256-852-5170 | |
Krista Taylor Morgan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4200 Chris Dr Sw, Huntsville, AL 35802 Phone: 877-407-3422 Fax: 877-407-4329 | |
Jennifer Deanna Hembree, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3313 Memorial Pkwy Sw Ste 122, Huntsville, AL 35801 Phone: 256-883-7338 | |
Joelle Walden, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1622 Pratt Ave Ne, Huntsville, AL 35801 Phone: 217-417-5325 | |
Emma Kaye Grantham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4769 Whitesburg Dr Se Ste 202, Huntsville, AL 35802 Phone: 256-666-0477 Fax: 256-666-0465 |