| Dr Kathryn Alane Grist, PT, DPT | |
|
26106 Lee Hwy, Abingdon, VA 24211-7502 | |
| (276) 623-0274 | |
| (237) 662-3031 |
| Full Name | Dr Kathryn Alane Grist |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 26106 Lee Hwy, Abingdon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407248073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305212286 (Virginia) | Primary |
| 225100000X | Physical Therapist | 10870 (Tennessee) | Secondary |
| Provider Name | Elite Integrated Therapy Centers Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1184673600 PECOS PAC ID: 3274552716 Enrollment ID: O20051115000119 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kathryn Alane Grist, PT, DPT 1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424 Ph: (423) 238-7217 | Dr Kathryn Alane Grist, PT, DPT 26106 Lee Hwy, Abingdon, VA 24211-7502 Ph: (276) 623-0274 |
Dr. Bradley Shockley, DPT, HFS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15051 Harmony Hills Ln, Abingdon, VA 24211 Phone: 276-623-1004 | |
Taylor Lynne Sophia Vanders, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17507 Lee Hwy, Abingdon, VA 24210 Phone: 276-525-6043 | |
Julie Marie Goulet, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18596 Lee Hwy Ste B, Abingdon, VA 24210 Phone: 276-525-6043 | |
Kyle Thomas Lilly, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25298 Lee Hwy, Abingdon, VA 24211 Phone: 276-698-3104 Fax: 276-698-3110 | |
Ann B Fleenor, PT, CMT, NCTMB Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 370 E Main St, Abingdon, VA 24210 Phone: 276-623-3413 | |
Jennifer Kemp, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17507 Lee Hwy, Abingdon, VA 24210 Phone: 276-525-6043 | |
Kayla Stump Frazier, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 18596 Lee Hwy Ste B, Abingdon, VA 24210 Phone: 276-525-6043 |