| Advanced Rehabilitation Center, Pllc | |
|
50 Stanley St, Crossville, TN 38555-4430 | |
| (931) 456-5757 | |
| (931) 456-5533 |
| Full Name | Advanced Rehabilitation Center, Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 50 Stanley St, Crossville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093982175 | NPI | - | NPPES |
| 4071589 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3651221 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3608 (Tennessee) | Primary |
| Provider Name | Tomasz J Nosarzewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407805385 PECOS PAC ID: 1355376021 Enrollment ID: I20050930000513 |
| Provider Name | Jason B Candler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508319997 PECOS PAC ID: 6901184894 Enrollment ID: I20230327001902 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Rehabilitation Center, Pllc 139 Hedgewood Pt, Crossville, TN 38558-4514 Ph: (931) 456-5757 | Advanced Rehabilitation Center, Pllc 50 Stanley St, Crossville, TN 38555-4430 Ph: (931) 456-5757 |
Lindsey D Wilson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 S Main St, Crossville, TN 38555 Phone: 931-456-1818 Fax: 931-456-4458 | |
Hayley Brooke Kerley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Cumberland Plz, Crossville, TN 38555 Phone: 931-787-1244 Fax: 931-787-1245 | |
Peter William Seeley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Miller Ave, Suite 104, Crossville, TN 38555 Phone: 931-787-1244 Fax: 931-787-1245 | |
Elton Tidwell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 Cumberland Plz, Crossville, TN 38555 Phone: 931-787-1244 | |
Dr. Andrew Nathan Chleborad, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Stanley St, Crossville, TN 38555 Phone: 931-456-5757 | |
Ms. Deborah Anne Ellison, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Taylor Ave Ste 205, Crossville, TN 38555 Phone: 931-456-5757 Fax: 931-456-5533 |