| Actimed | |
|
1074 Highway 13 N, Brandon, MS 39042-8568 | |
| (601) 825-0101 | |
| (601) 825-0102 |
| Full Name | Actimed |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1074 Highway 13 N, Brandon, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386147817 | NPI | - | NPPES |
| 06529750 | Medicaid | MS | |
| 3185373 | Medicaid | MS |
| Provider Name | Kelly Orman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699806273 PECOS PAC ID: 6103190848 Enrollment ID: I20170920000357 |
| Provider Name | John Marty Cheeks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316464316 PECOS PAC ID: 3173897246 Enrollment ID: I20170928001291 |
| Provider Name | Jasper Winton Adcock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942556311 PECOS PAC ID: 5890059612 Enrollment ID: I20180919001751 |
| Provider Name | Carroll Edward Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235177064 PECOS PAC ID: 8628244548 Enrollment ID: I20200310000630 |
| Provider Name | Jasper Winton Adcock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942556311 PECOS PAC ID: 5890059612 Enrollment ID: I20210310001448 |
| Provider Name | Jessica Byrd |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942673124 PECOS PAC ID: 6305246133 Enrollment ID: I20210615002615 |
| Mailing Address | Practice Location Address |
|---|---|
| Actimed Po Box 1577, Magee, MS 39111-1577 Ph: (601) 722-2222 | Actimed 1074 Highway 13 N, Brandon, MS 39042-8568 Ph: (601) 825-0101 |
Rashad Smith, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Amethyst Ln, Brandon, MS 39047 Phone: 601-260-5767 | |
Drayer Physical Therapy Institute Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 N Shore Pkwy, Suite B, Brandon, MS 39047 Phone: 601-829-0505 Fax: 601-829-0506 | |
Mr. Mark Allen Livingston, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1220 N Shore Pkwy, Suite B, Brandon, MS 39047 Phone: 601-829-0505 Fax: 601-829-0506 | |
Sherry Teer Colson, DPT EDD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 114 Northwind Dr, Brandon, MS 39047 Phone: 601-940-1090 | |
Dr. Avery Harps, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 289 Cornerstone Dr, Brandon, MS 39042 Phone: 601-706-4051 Fax: 601-706-4051 | |
Matthew Woodruff, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 359 Avalon Way, Brandon, MS 39047 Phone: 662-207-6756 | |
Mrs. Kitty Josette Stogner, PT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 521 Pelahatchie Shore Dr, Brandon, MS 39047 Phone: 601-613-7328 |