Mrs Melissa Gottheim Wildt, OT | |
2147 Davie Ave, Gardens Of Statesville, Statesville, NC 28625-9200 | |
(704) 878-8689 | |
Not Available |
Full Name | Mrs Melissa Gottheim Wildt |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 20 Years |
Location | 2147 Davie Ave, Statesville, North Carolina |
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 |
---|---|---|---|
1093751455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2005000874 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Comprehensive Therapeutics Ltd | 8921230137 | 244 |
Provider Name | Comprehensive Therapeutics Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619575651 PECOS PAC ID: 8921230137 Enrollment ID: O20201130001750 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melissa Gottheim Wildt, OT 2222 Sullivan Trl, Easton, PA 18040-7958 Ph: (610) 991-2034 | Mrs Melissa Gottheim Wildt, OT 2147 Davie Ave, Gardens Of Statesville, Statesville, NC 28625-9200 Ph: (704) 878-8689 |
Shannan Lawrence, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-5661 | |
Abundant Life Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1531 Cinema Dr Ste C, Statesville, NC 28625 Phone: 980-443-6070 Fax: 980-443-6070 | |
Mr. Gregory W Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Baymount Dr, Statesville, NC 28625 Phone: 704-880-0688 | |
Mr. Scott M Rhodes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-7620 | |
Mrs. Denise Overcash Ray, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 889 Sherwood Ln, Statesville, NC 28677 Phone: 704-881-0088 Fax: 704-881-0087 | |
Carly Filiault, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 Van Haven Dr, Statesville, NC 28625 Phone: 704-883-9700 |