| Caitlin Sisco, | |
|
740 Highway 49 Ste F, Flora, MS 39071-9653 | |
| (972) 850-3940 | |
| Not Available |
| Full Name | Caitlin Sisco |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 740 Highway 49 Ste F, Flora, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518490481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT5288 (Mississippi) | Primary |
| Provider Name | 2083 Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1134638307 PECOS PAC ID: 4082976246 Enrollment ID: O20180328000512 |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlin Sisco, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Caitlin Sisco, 740 Highway 49 Ste F, Flora, MS 39071-9653 Ph: (972) 850-3940 |
James Justin Garner, PT,MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 740 Highway 49 Ste F, Flora, MS 39071 Phone: 601-401-5073 | |
Kayla Diane Love, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 740 Highway 49 Ste F, Flora, MS 39071 Phone: 601-401-5073 Fax: 601-401-5093 | |
Kimberly Walker, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 936 Pocahontas Rd, Flora, MS 39071 Phone: 601-540-5516 |