| Dr Brian Scott Hoppestad, EDD, MS, PT | |
|
562 Mariner Point Drive, Clinton, TN 37716 | |
| (865) 457-6465 | |
| (865) 381-1205 |
| Full Name | Dr Brian Scott Hoppestad |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 562 Mariner Point Drive, Clinton, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366539108 | NPI | - | NPPES |
| LICENSE NUMBER 262 | Other | TN | PROF, SUPPORT SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT0000004932 (Tennessee) | Primary |
| Provider Name | Grace Rehabilitation Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659485936 PECOS PAC ID: 7517875867 Enrollment ID: O20220826000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Scott Hoppestad, EDD, MS, PT 562 Mariner Point Drive, Clinton, TN 37716 Ph: (865) 457-6465 | Dr Brian Scott Hoppestad, EDD, MS, PT 562 Mariner Point Drive, Clinton, TN 37716 Ph: (865) 457-6465 |
Scott Edwards, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 Fax: 865-463-7825 | |
Nathan Gibson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 Fax: 865-463-7825 | |
Ashton Grimm, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 | |
Mrs. Teresa B Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 Jefferson Ln, Clinton, TN 37716 Phone: 865-776-3247 | |
Taylor Layne Gilliam, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 | |
Beverly U Baumgardner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 N Charles G Seivers Blvd, Clinton, TN 37716 Phone: 865-457-1649 Fax: 865-463-7825 |