| Dalton Emerson West, PT | |
|
26448 Main St, Ardmore, TN 38449-2913 | |
| (931) 427-6030 | |
| Not Available |
| Full Name | Dalton Emerson West |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 26448 Main St, Ardmore, Tennessee |
| 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 |
|---|---|---|---|
| 1114594561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14711 (Tennessee) | Primary |
| 225100000X | Physical Therapist | 2021017483 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Therafit, Llc | 1557390671 | 7 |
| Provider Name | Therafit, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1063421857 PECOS PAC ID: 1557390671 Enrollment ID: O20140721002128 |
| Provider Name | Results-ast Jv Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061 |
| Mailing Address | Practice Location Address |
|---|---|
| Dalton Emerson West, PT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Dalton Emerson West, PT 26448 Main St, Ardmore, TN 38449-2913 Ph: (931) 427-6030 |
Paula Gohier, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25385 Main St, Ardmore, TN 38449 Phone: 931-427-2143 | |
Donna Hamby Bishop, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24623 Union Hill Rd, Ardmore, TN 38449 Phone: 931-427-2143 | |
Olivia Christine Rathgeb, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26448 Main St, Ardmore, TN 38449 Phone: 931-427-6030 | |
Mrs. Leilani Diaz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25385 Main St, Ardmore, TN 38449 Phone: 931-427-2143 | |
Patricia Joan Donley, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 24623 Union Hill Rd, Ardmore, TN 38449 Phone: 931-427-2143 |