| Gloria Joann Poppy, PHYSICAL THERAPIST | |
|
2301 Jacksboro Pike, La Follette, TN 37766-2959 | |
| (423) 566-2250 | |
| (423) 566-5896 |
| Full Name | Gloria Joann Poppy |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2301 Jacksboro Pike, La Follette, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184738494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT6928 (Tennessee) | Primary |
| Provider Name | Grace Rehabilitation Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659485936 PECOS PAC ID: 7517875867 Enrollment ID: O20220826000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria Joann Poppy, PHYSICAL THERAPIST 2301 Jacksboro Pike, La Follette, TN 37766-2959 Ph: (423) 566-2250 | Gloria Joann Poppy, PHYSICAL THERAPIST 2301 Jacksboro Pike, La Follette, TN 37766-2959 Ph: (423) 566-2250 |
Joseph Ryan Hoekstra, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 503 W Central Ave, La Follette, TN 37766 Phone: 423-566-2356 | |
Jared H Ray, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2435 Jacksboro Pike, La Follette, TN 37766 Phone: 423-566-8283 | |
Elaine Hitch Ervin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 503 W Central Ave, La Follette, TN 37766 Phone: 423-566-2356 Fax: 423-907-8191 | |
Roseann Michelle Basarich, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 923 E Central Ave, La Follette, TN 37766 Phone: 423-907-1543 Fax: 423-901-1173 | |
Ms. Tammy Jane Mozingo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 Davis Ln, La Follette, TN 37766 Phone: 423-562-0760 | |
Douglas Roberts, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 923 E Central Ave, La Follette, TN 37766 Phone: 423-907-1200 |