Richard Trevor Davidson, PT | |
2603 W Pleasant Grove Rd, Ste 104, Rogers, AR 72758-5804 | |
(479) 636-1187 | |
(479) 636-1197 |
Full Name | Richard Trevor Davidson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 19 Years |
Location | 2603 W Pleasant Grove Rd, Rogers, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598714867 | NPI | - | NPPES |
159990721 | Medicaid | AR | |
71085780150 | Other | AR | QUALCHOICE |
445934001 | Other | AR | PALMETTO GI DME |
662725 | Other | AR | HEALTHLINK |
791200 | Other | MO | BCBS-ANTHEM |
MA4370090 | Other | MO | MEDICARE PTAN |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Serc Rehabilitation Partners Llc | 9830344563 | 195 |
Provider Name | Serc Rehabilitation Partners Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20150220000556 |
Mailing Address | Practice Location Address |
---|---|
Richard Trevor Davidson, PT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217 | Richard Trevor Davidson, PT 2603 W Pleasant Grove Rd, Ste 104, Rogers, AR 72758-5804 Ph: (479) 636-1187 |
Lauren Routh, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3307 N Dixieland Rd, Rogers, AR 72756 Phone: 479-986-5150 | |
Legacy Healthcare Services Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 650 S Dodson Rd, Rogers, AR 72758 Phone: 855-239-3467 | |
At Home Therapy, Incorporated Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2515 Everest Ave, Rogers, AR 72758 Phone: 479-372-4968 | |
Amanda Gaffney, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Woods Lane, Rogers, AR 72756 Phone: 479-636-3190 | |
Evan Richard Hill, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1101 Horsebarn Rd, Rogers, AR 72758 Phone: 479-636-9607 Fax: 479-636-9608 | |
Charles Robert Ihli, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 W Hudson Rd Ste 3, Rogers, AR 72756 Phone: 479-340-1100 | |
Dr. Michelle A Carter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6303 S 26th St, Rogers, AR 72758 Phone: 501-454-1040 Fax: 479-222-0048 |