| Gordon E Smith, LPT | |
|
117 Bo Bo Dr, Crystal Springs, MS 39059-2741 | |
| (601) 892-6330 | |
| Not Available |
| Full Name | Gordon E Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 35 Years |
| Location | 117 Bo Bo Dr, Crystal Springs, Mississippi |
| 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 |
|---|---|---|---|
| 1396893160 | NPI | - | NPPES |
| 08276334 | Medicaid | MS | |
| 1431281 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT1039 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Drayer Physical Therapy Mississippi Llc | 3274834858 | 113 |
| Provider Name | Agilitas USA, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130219000317 |
| Provider Name | Dpti Elite Physical Therapy LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386010718 PECOS PAC ID: 0547579401 Enrollment ID: O20151016001144 |
| Provider Name | Drayer Physical Therapy Mississippi LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040 |
| Provider Name | Benchmark Physical Therapy of Mississippi LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811547680 PECOS PAC ID: 0840626446 Enrollment ID: O20200130000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon E Smith, LPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Gordon E Smith, LPT 117 Bo Bo Dr, Crystal Springs, MS 39059-2741 Ph: (601) 892-6330 |
Brendan Gregory Burgess, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330 |
Cynthia Tronstad, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330 Fax: 601-892-6331 |
Kaleb Delton Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330 Fax: 601-892-6331 |
Taylor W Buntyn, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 W. Railroad Ave, Crystal Springs, MS 39059 Phone: 601-647-9010 Fax: 601-647-9011 |
Amber Gail Mccullum, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 512 Harmony Rd, Crystal Springs, MS 39059 Phone: 601-750-7180 |
Mrs. Tonya G Mclendon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 W Railroad Ave N, Crystal Springs, MS 39059 Phone: 601-892-8707 Fax: 601-892-7614 |
Shirley D Moncure, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 Bo Bo Dr, Crystal Springs, MS 39059 Phone: 601-892-6330 |