| Jacob Wood, | |
|
33 Hughes Rd, Madison, AL 35758-2238 | |
| (256) 319-9327 | |
| (256) 319-9328 |
| Full Name | Jacob Wood |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 33 Hughes Rd, Madison, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013727395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 6576 (Alabama) | Primary |
| Provider Name | Sportsmed Orthopaedic Specialists |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508947839 PECOS PAC ID: 7214903723 Enrollment ID: O20040907000749 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Wood, 42465 Highway 195, Haleyville, AL 35565-7052 Ph: (256) 350-1764 | Jacob Wood, 33 Hughes Rd, Madison, AL 35758-2238 Ph: (256) 319-9327 |
Lauren Goodson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8331 Madison Blvd Ste 300, Madison, AL 35758 Phone: 256-883-7339 | |
Ms. Mary Therese Mayhan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8331 Madison Blvd Ste 300, Madison, AL 35758 Phone: 256-883-7338 Fax: 256-883-7135 | |
Caroline Thomas Estes, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8475 Wann Drive, Madison, AL 35758 Phone: 256-704-1700 | |
Alison Fields, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 97 Hughes Rd. Suite H, Pediatric Therapy Link Of North Alabama, Madison, AL 35758 Phone: 256-883-7338 | |
Johnson's Functional Village, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8000 Madison Blvd Ste D102-208, Madison, AL 35758 Phone: 256-299-5380 Fax: 256-464-3045 | |
Mrs. Melissa M Yarbrough, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 97 Hughes Rd, Suite H, Madison, AL 35758 Phone: 256-883-7338 Fax: 256-883-7135 |