| Bienville Therapy, Llc | |
|
6300 E Lake Blvd Ste 101, Vancleave, MS 39565-6771 | |
| (228) 230-2663 | |
| Not Available |
| Full Name | Bienville Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6300 E Lake Blvd Ste 101, Vancleave, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720844392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Teresa Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487855706 PECOS PAC ID: 9638158892 Enrollment ID: I20040720000589 |
| Provider Name | Nancy A Lovell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598803744 PECOS PAC ID: 1355445321 Enrollment ID: I20070330000424 |
| Provider Name | Brandon Cloud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184720724 PECOS PAC ID: 0749336477 Enrollment ID: I20090922000707 |
| Provider Name | Clarence Ray Quave |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336516269 PECOS PAC ID: 1658680467 Enrollment ID: I20151019000661 |
| Provider Name | Tiffany Lewallen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861947376 PECOS PAC ID: 8325329469 Enrollment ID: I20170103000663 |
| Provider Name | Clarissa Picard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164971867 PECOS PAC ID: 2860774254 Enrollment ID: I20170119001575 |
| Provider Name | Ophelia Abrahams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427507037 PECOS PAC ID: 5991088718 Enrollment ID: I20170201001831 |
| Provider Name | Shanna A Jimerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891092722 PECOS PAC ID: 3577749779 Enrollment ID: I20170502000463 |
| Provider Name | Carolyn C Signorine |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588139521 PECOS PAC ID: 5496009987 Enrollment ID: I20181120001275 |
| Provider Name | Sean James Hodges |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780214098 PECOS PAC ID: 3971923350 Enrollment ID: I20201023002649 |
| Provider Name | Olivia J Hoffman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619635026 PECOS PAC ID: 0648654798 Enrollment ID: I20220908002499 |
| Provider Name | Kayla Ann Todd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154050086 PECOS PAC ID: 5092190280 Enrollment ID: I20220926000284 |
| Provider Name | Dalton L.e. Frederick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811776701 PECOS PAC ID: 5799131090 Enrollment ID: I20231023002550 |
| Provider Name | Jacqueline Truong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013372283 PECOS PAC ID: 9133418171 Enrollment ID: I20231201001432 |
| Provider Name | Christina Sciortino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316700255 PECOS PAC ID: 5890131643 Enrollment ID: I20240314003062 |
| Provider Name | Natalie Overstreet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376306290 PECOS PAC ID: 9133566854 Enrollment ID: I20240318001424 |
| Provider Name | Leigh Chiasson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174386015 PECOS PAC ID: 7719325307 Enrollment ID: I20240402000882 |
| Provider Name | Jeremy Wooten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609499946 PECOS PAC ID: 6507289444 Enrollment ID: I20240529000720 |
| Provider Name | Nathaniel Lee Sexton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861747560 PECOS PAC ID: 2062657349 Enrollment ID: I20240730002204 |
| Provider Name | Taylor Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588420699 PECOS PAC ID: 3072053255 Enrollment ID: I20240914000355 |
| Provider Name | Kailee P Wilber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699561688 PECOS PAC ID: 5991216293 Enrollment ID: I20250613002782 |
| Mailing Address | Practice Location Address |
|---|---|
| Bienville Therapy, Llc 6300 E Lake Blvd Ste 301, Vancleave, MS 39565-6771 Ph: (228) 230-2663 | Bienville Therapy, Llc 6300 E Lake Blvd Ste 101, Vancleave, MS 39565-6771 Ph: (228) 230-2663 |
Jazmine J Davis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 228-215-2240 Fax: 228-215-2241 | |
Leigh Chiasson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 228-818-1200 | |
Danny Nguyen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13913 Virginia St, Vancleave, MS 39565 Phone: 228-282-9901 | |
Natalie Overstreet, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 228-818-1200 Fax: 228-818-1209 | |
Bienville Orthopaedic Specialists, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6300 East Lake Blvd., Suite 201, Vancleave, MS 39565 Phone: 228-230-2663 Fax: 228-206-1192 | |
Dr. Jeremy Wooten, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 228-215-2240 Fax: 228-215-2241 | |
Anil K Mangal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 228-215-2240 Fax: 228-215-2241 |