| Jacob Gates, | |
|
2823 Greystone Commercial Blvd, Birmingham, AL 35242-2660 | |
| (205) 745-3660 | |
| (205) 745-3649 |
| Full Name | Jacob Gates |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 10 Years |
| Location | 2823 Greystone Commercial Blvd, Birmingham, Alabama |
| 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 |
|---|---|---|---|
| 1710431663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTH8084 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Therapy South Jasper Llc | 1355685819 | 5 |
| Provider Name | Therapy South Greystone, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144325994 PECOS PAC ID: 6103826474 Enrollment ID: O20070110000487 |
| Provider Name | Therapy South Llc - Fultondale |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972787687 PECOS PAC ID: 1456438514 Enrollment ID: O20080414000532 |
| Provider Name | Therapy South Cullman Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1457804775 PECOS PAC ID: 4183902364 Enrollment ID: O20161021001397 |
| Provider Name | Therapy South Jasper Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861961666 PECOS PAC ID: 1355685819 Enrollment ID: O20181211000132 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Gates, 2823 Greystone Commercial Blvd, Birmingham, AL 35242-2660 Ph: (205) 745-3660 | Jacob Gates, 2823 Greystone Commercial Blvd, Birmingham, AL 35242-2660 Ph: (205) 745-3660 |
Mary Katherine Walker, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-228-7600 Fax: 205-639-0990 | |
Ms. Jenesis C. Safford, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 19th St S, Room 8307, Birmingham, AL 35233 Phone: 205-933-4390 | |
Jason Cooper Grammer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3125 Independence Dr, Suite 300b, Birmingham, AL 35209 Phone: 205-879-7501 Fax: 205-879-0675 | |
Samantha Specht, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-7763 | |
Ms. Robin Vanchina, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3125 Independence Dr, 300b, Birmingham, AL 35209 Phone: 205-879-7501 Fax: 205-879-0675 | |
Dr. Olivia Avalon Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3125 Independence Dr Ste 300b, Birmingham, AL 35209 Phone: 205-263-2770 Fax: 205-263-0994 | |
James Wallace Henry, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-228-7631 |