| Anthony Jacaruso, | |
|
406 Roy Martin Rd Ste 9, Gray, TN 37615-2245 | |
| (423) 477-1101 | |
| Not Available |
| Full Name | Anthony Jacaruso |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 406 Roy Martin Rd Ste 9, Gray, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124394770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 018884-1 (New York) | Secondary |
| 225100000X | Physical Therapist | 14601 (Tennessee) | Primary |
| Provider Name | Achieve Health And Wellness |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639474745 PECOS PAC ID: 2567644289 Enrollment ID: O20110316000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Jacaruso, 296 Jessicas Way, Johnson City, TN 37615-3079 Ph: (917) 853-9763 | Anthony Jacaruso, 406 Roy Martin Rd Ste 9, Gray, TN 37615-2245 Ph: (423) 477-1101 |
Mrs. Cydney Shea Bunn, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 406 Roy Martin Rd Ste 9, Gray, TN 37615 Phone: 423-477-1101 Fax: 423-477-1102 | |
Sarah Morgan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 152 Gray Station Rd Apt 6, Gray, TN 37615 Phone: 615-812-6591 | |
Timothy Andy Wooten, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 Roy Martin Rd, Suite 9, Gray, TN 37615 Phone: 423-477-1101 Fax: 423-477-1102 | |
Lauren Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 Roy Martin Rd Ste 9, Gray, TN 37615 Phone: 423-477-1101 | |
Lindsey Rogers, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 406 Roy Martin Rd Ste 9, Gray, TN 37615 Phone: 423-477-1101 Fax: 423-477-1102 | |
Elizabeth A Hamm, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 406 Roy Martin Rd Ste 9, Gray, TN 37615 Phone: 423-477-1101 Fax: 423-477-1102 |