| Jacob David Spring, DPT | |
|
5160 Ocean Hwy W, Shallotte, NC 28470-4012 | |
| (910) 332-3828 | |
| Not Available |
| Full Name | Jacob David Spring |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 5160 Ocean Hwy W, Shallotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669296836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 049146 (New York) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | P23894 (North Carolina) | Primary |
| Provider Name | Ivyrehab Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396799409 PECOS PAC ID: 7012997638 Enrollment ID: O20040723000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob David Spring, DPT 290 Landings Dr, Buffalo, NY 14228-3710 Ph: (716) 908-8693 | Jacob David Spring, DPT 5160 Ocean Hwy W, Shallotte, NC 28470-4012 Ph: (910) 332-3828 |
Vaughn Moore, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4501 Main St, Suite 5, Shallotte, NC 28470 Phone: 910-755-5863 | |
Foundation Health Systems Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 512 Village Rd Ste 102, Shallotte, NC 28470 Phone: 910-721-3157 Fax: 910-754-5577 | |
Patrick Joseph Mccauley, MS, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 728 Village Rd Sw, Shallotte, NC 28470 Phone: 910-755-5400 | |
Mrs. Megan Lee, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5160 Ocean Hwy W, Shallotte, NC 28470 Phone: 910-332-3800 Fax: 910-251-0421 | |
Jenna Strickland, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4503 Main St, Shallotte, NC 28470 Phone: 910-721-3157 | |
Dr. Adja Catalano, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4501 Main St Ste 5, Shallotte, NC 28470 Phone: 910-755-5863 Fax: 910-755-5864 | |
Farrah Holt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4503 Main St, Shallotte, NC 28470 Phone: 910-721-3157 Fax: 910-754-5577 |