| Jason Richard Kalivoda, PT, DPT | |
|
105 Professional Park Dr, Beaufort, NC 28516-2418 | |
| (252) 726-1802 | |
| (252) 726-1805 |
| Full Name | Jason Richard Kalivoda |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 105 Professional Park Dr, Beaufort, 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 |
|---|---|---|---|
| 1134657224 | NPI | - | NPPES |
| P16995 | Other | NC | PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P16995 (North Carolina) | Primary |
| Provider Name | Emergeortho Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20031229000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Richard Kalivoda, PT, DPT Po Box 5105, Belfast, ME 04915-5100 Ph: (252) 726-1802 | Jason Richard Kalivoda, PT, DPT 105 Professional Park Dr, Beaufort, NC 28516-2418 Ph: (252) 726-1802 |
Arthur Gray Incorporated Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1507 Live Oak St, Suite D, Beaufort, NC 28516 Phone: 252-838-8810 | |
Mrs. Katherine W Price, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 Live Oak St, Beaufort, NC 28516 Phone: 252-732-4618 | |
Chance Jennings Cox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Professional Park Dr, Beaufort, NC 28516 Phone: 910-332-3800 Fax: 910-663-9058 | |
Beaufort Physical Therapy Limited Partnership Physical Therapist Medicare: Medicare Enrolled Practice Location: 106-a Professional Park Dr, Beaufort, NC 28516 Phone: 252-838-0222 Fax: 252-838-0224 | |
Rachel Dawson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Professional Park Dr, Beaufort, NC 28516 Phone: 252-726-1802 | |
Matthew Wells Richter, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Professional Park Dr, Beaufort, NC 28516 Phone: 252-726-1802 Fax: 252-726-1805 |