| Carlie Shields, | |
|
355 Crossgates Blvd, Brandon, MS 39042-2602 | |
| (601) 825-3192 | |
| Not Available |
| Full Name | Carlie Shields |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 355 Crossgates Blvd, Brandon, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689046872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT3072 (Mississippi) | Primary |
| Provider Name | Performance Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851427132 PECOS PAC ID: 7012971047 Enrollment ID: O20041118000549 |
| Provider Name | Drayer Physical Therapy Mississippi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlie Shields, Po Box 428, Orchard Park, NY 14127-0428 Ph: (716) 662-4955 | Carlie Shields, 355 Crossgates Blvd, Brandon, MS 39042-2602 Ph: (601) 825-3192 |
Thomas Haven Gazaway, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015 Highpointe Drive, Brandon, MS 39042 Phone: 888-976-2667 Fax: 601-824-8816 | |
Blair Mcgee Ot, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 512 Turtle Ln, Brandon, MS 39047 Phone: 662-207-1090 Fax: 601-510-9861 | |
Cheryl Lynn Dowell Worrell, M.S. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 355 Crossgates Blvd, Brandon, MS 39042 Phone: 601-825-3192 | |
Heather Marie Calnan, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1220 N Shore Pkwy, Suite B, Brandon, MS 39047 Phone: 601-829-0505 Fax: 601-829-0506 | |
Jessica Nichols, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 906 Tetbury Pl, Brandon, MS 39047 Phone: 662-820-8732 | |
Live, Learn, Grow - Pediatric Therapy Solutions, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 906 Tetbury Pl, Brandon, MS 39047 Phone: 662-820-8732 Fax: 601-202-9606 | |
Ashley Marco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Mandy Dr, Brandon, MS 39042 Phone: 601-622-7272 |