| Jake Aikman Mccain, | |
|
3275 Lusk Dr, Suite C, Neosho, MO 64850 | |
| (417) 312-8312 | |
| Not Available |
| Full Name | Jake Aikman Mccain |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3275 Lusk Dr, Neosho, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689316333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2021033653 (Missouri) | Primary |
| Provider Name | Advanced Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427401702 PECOS PAC ID: 5395032882 Enrollment ID: O20200430002118 |
| Mailing Address | Practice Location Address |
|---|---|
| Jake Aikman Mccain, 844 E Country Ridge St, Nixa, MO 65714-7668 Ph: () - | Jake Aikman Mccain, 3275 Lusk Dr, Suite C, Neosho, MO 64850 Ph: (417) 312-8312 |
Kimberly Michele Maroney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 Oak Ridge Dr, Neosho, MO 64850 Phone: 208-859-7464 | |
Peggy R Maher, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 W Lyon Dr, Neosho, MO 64850 Phone: 615-896-6400 | |
Sarah Davis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 511 S Neosho Blvd, Neosho, MO 64850 Phone: 417-451-8682 Fax: 417-451-8684 | |
Megan Keel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1105 Village Rd, Neosho, MO 64850 Phone: 800-381-0822 Fax: 352-565-5201 |