| Brandon Roy, | |
|
2752 Boiling Springs Rd, Boiling Springs, SC 29316-6003 | |
| (864) 210-9658 | |
| Not Available |
| Full Name | Brandon Roy |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2752 Boiling Springs Rd, Boiling Springs, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295308153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | P21449 (North Carolina) | Primary |
| Provider Name | Benchmark Physical Therapy Of North Carolina Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356894604 PECOS PAC ID: 1052609278 Enrollment ID: O20161004000926 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Roy, 506 Mapletree Dr, Knoxville, TN 37934-0835 Ph: () - | Brandon Roy, 2752 Boiling Springs Rd, Boiling Springs, SC 29316-6003 Ph: (864) 210-9658 |
Alexandria Marie Forthaus, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 Boiling Springs Rd # G, Boiling Springs, SC 29316 Phone: 864-599-0799 | |
Valarie Blanton, Physical Therapist Medicare: Medicare Enrolled Practice Location: 113 Wild Cherry Lane, Boiling Springs, SC 29316 Phone: 864-490-8221 | |
Phong Nguyen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2646 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-345-6714 | |
Jeremaih Terry Stout, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-599-0799 | |
Thrive Pediatric Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 139 Dewfield Ln, Boiling Springs, SC 29316 Phone: 704-785-5152 | |
Kwaid Fears, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2646 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-345-6714 |