| Jac Randall Doran, | |
|
1948 E Chesapeake Dr, Ozark, MO 65721-7815 | |
| (417) 551-3210 | |
| (888) 527-0428 |
| Full Name | Jac Randall Doran |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 36 Years |
| Location | 1948 E Chesapeake Dr, Ozark, Missouri |
| 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 |
|---|---|---|---|
| 1821323957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | R1148 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Willard Physical Therapy Center Llc | 8123417037 | 5 |
| Provider Name | Willard Physical Therapy Center Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528737780 PECOS PAC ID: 8123417037 Enrollment ID: O20211116000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Jac Randall Doran, 6104 N 27th St, Ozark, MO 65721-5857 Ph: (417) 838-1701 | Jac Randall Doran, 1948 E Chesapeake Dr, Ozark, MO 65721-7815 Ph: (417) 551-3210 |
Katie Gorman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5006 N 22nd St, Ozark, MO 65721 Phone: 417-429-2412 | |
Megan Shook, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1913 N 23rd St, Ozark, MO 65721 Phone: 417-501-5317 | |
Matthew Standage, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 755 N 20th St, Ozark, MO 65721 Phone: 417-731-7094 | |
Terra Gegg, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1496 W State Highway J, Ozark, MO 65721 Phone: 417-485-5444 | |
Mr. John Ross Ray, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1114 W Jackson St, Ozark, MO 65721 Phone: 417-581-1234 Fax: 888-550-3518 | |
Ms. Crystal Lynn Warren, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1725 S 15th St, Ozark, MO 65721 Phone: 417-730-5500 Fax: 417-730-5505 | |
Dr. Chelsea Nicole Hord, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4208 Rome Ave, Ozark, MO 65721 Phone: 417-834-5990 |