| Benjamin Houska, | |
|
4150 Main St Ste 101, Jasper, TN 37347-3446 | |
| (423) 942-8073 | |
| Not Available |
| Full Name | Benjamin Houska |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4150 Main St Ste 101, Jasper, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891402749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Tennessee) | Primary |
| Provider Name | Independent Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202 |
| Provider Name | Agilitas Usa, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Houska, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 269-2144 | Benjamin Houska, 4150 Main St Ste 101, Jasper, TN 37347-3446 Ph: (423) 942-8073 |
Miriam Janice Herstik, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Courthouse Sq, Jasper, TN 37347 Phone: 423-942-8073 Fax: 423-942-6660 | |
Lauren N Hogan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4150 Main St Ste 101, Jasper, TN 37347 Phone: 423-942-8073 | |
Heather Stepp, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4150 Main St Ste 101, Jasper, TN 37347 Phone: 423-942-8073 Fax: 423-942-6660 | |
Mrs. Cindy A Geick, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15 Courthouse Sq, Jasper, TN 37347 Phone: 423-942-8073 Fax: 423-942-6660 | |
Alexis Garduno, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4150 Main St Ste 101, Jasper, TN 37347 Phone: 423-942-8073 | |
Rebekah Lynn Forsythe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Courthouse Square, Jasper, TN 37347 Phone: 423-942-8073 Fax: 423-942-6660 | |
Joshua Dean Stivers, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Courthouse Sq, Jasper, TN 37347 Phone: 423-942-8073 Fax: 423-942-6660 |