| Champion Physical Therapy, Llc | |
|
901 Lakeland Pl Ste 9, Flowood, MS 39232-6633 | |
| (769) 251-1148 | |
| (769) 216-2156 |
| Full Name | Champion Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 901 Lakeland Pl Ste 9, Flowood, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124645684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Elizabeth A Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306940051 PECOS PAC ID: 9537456397 Enrollment ID: I20160921001956 |
| Provider Name | James O Farrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003116062 PECOS PAC ID: 1355627456 Enrollment ID: I20170403002297 |
| Provider Name | Jacob Mcilwain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992384283 PECOS PAC ID: 7719395201 Enrollment ID: I20210422000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Physical Therapy, Llc 901 Lakeland Pl Ste 9, Flowood, MS 39232-6633 Ph: (769) 251-1148 | Champion Physical Therapy, Llc 901 Lakeland Pl Ste 9, Flowood, MS 39232-6633 Ph: (769) 251-1148 |
Connie W Moore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 533b Keyway Dr, Flowood, MS 39232 Phone: 601-420-0717 | |
Peter E Schott, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2470 Flowood Dr, Flowood, MS 39232 Phone: 877-554-4257 Fax: 601-983-2839 | |
Genesis Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 290 E Layfair Dr, Suite B, Flowood, MS 39232 Phone: 601-983-1200 Fax: 601-983-1205 | |
Specialized Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 533b Keyway Dr, Flowood, MS 39232 Phone: 601-420-0717 Fax: 601-420-0957 | |
Lindsey F Byrd, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2470 Flowood Dr, Flowood, MS 39232 Phone: 877-554-4257 | |
Mark F Ware, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4435 Mangum Dr, Suite A, Flowood, MS 39232 Phone: 601-932-0305 |