| Blake Landry Queen, PT | |
|
594 Centennial Dr, Cullowhee, NC 28723-1589 | |
| (828) 550-3923 | |
| (828) 354-0209 |
| Full Name | Blake Landry Queen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 594 Centennial Dr, Cullowhee, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477920684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P14915 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smoky Mountain Sports Medicine And Physical Therapy, Inc. | 6002180387 | 17 |
| Provider Name | Smoky Mountain Sports Medicine & Physical Therapy, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1710419619 PECOS PAC ID: 6002180387 Enrollment ID: O20170926000891 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Landry Queen, PT 90 E Main St Ste A, Sylva, NC 28779-3030 Ph: (828) 631-3009 | Blake Landry Queen, PT 594 Centennial Dr, Cullowhee, NC 28723-1589 Ph: (828) 550-3923 |
Andrew Allison, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4539 Little Savannah Rd Apt 1411, Cullowhee, NC 28723 Phone: 540-309-3329 | |
Ashley Rae Watamura, PT, DPT, PHD (C) Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3971 Little Savannah Rd Suite 113, Cullowhee, NC 28723 Phone: 828-293-5174 Fax: 828-293-0008 | |
Mr. James Reece Scifers, DSCPT, PT, SCS, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 Moore Hall, Cullowhee, NC 28723 Phone: 828-227-2147 Fax: 828-227-7446 | |
Tyler Nelson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3971 Little Savannah Rd, Suite 113, Cullowhee, NC 28723 Phone: 828-293-5174 | |
Asa Walker, DPT, LAT, ATC, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3971 Little Savannah Rd, Suite 113, Cullowhee, NC 28723 Phone: 828-293-5174 | |
Lori Schrodt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3971 Little Savannah Road, Wcu Balance And Fall Prevention Clinic, Cullowhee, NC 28723 Phone: 828-227-2379 |