| Capitol Physical Therapy, Pa | |
|
2648 Ridgewood Rd, Suite A, Jackson, MS 39216-4903 | |
| (601) 366-1456 | |
| (601) 366-1448 |
| Full Name | Capitol Physical Therapy, Pa |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2648 Ridgewood Rd, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518177971 | NPI | - | NPPES |
| 05855578 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT0223 (Mississippi) | Primary |
| Provider Name | Charles A Benford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780715854 PECOS PAC ID: 4587635446 Enrollment ID: I20040804000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Physical Therapy, Pa 5888 Ridgewood Rd Ste B, Jackson, MS 39211-2644 Ph: (601) 978-1798 | Capitol Physical Therapy, Pa 2648 Ridgewood Rd, Suite A, Jackson, MS 39216-4903 Ph: (601) 366-1456 |
Charles David Herrington, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415 | |
Amanda B Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6250 Old Canton Rd Ste 130, Jackson, MS 39211 Phone: 601-956-7280 Fax: 601-977-6244 | |
Baptist Pt- Lymphedema Clinic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-974-6243 | |
Dr. Brianna Kayla Melisha Mcfarland, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5225 Highway 18 W, Jackson, MS 39209 Phone: 601-487-8456 | |
Physical Rehabilitation Management Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 Byram Center Drive, Jackson, MS 39272 Phone: 601-502-1194 Fax: 601-502-1195 | |
Richard Rowe, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2475 Lakeland Dr Ste A, Jackson, MS 39232 Phone: 601-636-6019 Fax: 601-661-8457 | |
William David Henry, DMD, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5935 Highway 18 W, Jackson, MS 39209 Phone: 601-922-7028 Fax: 601-922-9005 |