| Grant Bishop, DPT | |
|
812 Pinckney St, Whiteville, NC 28472-3308 | |
| (910) 207-6696 | |
| Not Available |
| Full Name | Grant Bishop |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 812 Pinckney St, Whiteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245841725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P19706 (North Carolina) | Primary |
| Provider Name | Change The Game Performance Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659141703 PECOS PAC ID: 6406380203 Enrollment ID: O20241115003338 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Bishop, DPT 812 Pinckney St, Whiteville, NC 28472-3308 Ph: (910) 207-6696 | Grant Bishop, DPT 812 Pinckney St, Whiteville, NC 28472-3308 Ph: (910) 207-6696 |
Vida Mills Mcleary, MPT/L Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 216 N Thompson St, Whiteville, NC 28472 Phone: 910-642-3742 Fax: 910-642-3742 | |
Harrison Prince, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 812 Pinckney St, Whiteville, NC 28472 Phone: 910-207-6696 | |
Dr. Aleasia Nicole Jenkins, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 34 Hill Plz, Whiteville, NC 28472 Phone: 910-914-6161 Fax: 910-685-7759 | |
Whiteville City Schools Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 E Calhoun St, Whiteville, NC 28472 Phone: 910-642-3121 Fax: 910-642-2284 | |
Cherry Ann D Agbayani, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Flowers Pridgen Rd, Whiteville, NC 28472 Phone: 910-642-4300 | |
Dr. Nathan Norris, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 812 Pinckney St, Whiteville, NC 28472 Phone: 910-207-6696 Fax: 910-207-6773 |