| Jeremy Brian Grissett, DPT | |
|
1517 N Howe St Ste 4, Southport, NC 28461-2773 | |
| (910) 332-3800 | |
| (910) 251-0421 |
| Full Name | Jeremy Brian Grissett |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1517 N Howe St Ste 4, Southport, 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 |
|---|---|---|---|
| 1952022139 | NPI | - | NPPES |
| P21493 | Other | NC | PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P21493 (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 |
|---|---|
| Jeremy Brian Grissett, DPT Po Box 5105, Belfast, ME 04915-5100 Ph: (103) 323-8009 | Jeremy Brian Grissett, DPT 1517 N Howe St Ste 4, Southport, NC 28461-2773 Ph: (910) 332-3800 |
Giacomo Raimondi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1517 N Howe St Ste 4, Southport, NC 28461 Phone: 910-332-3800 Fax: 910-251-0421 | |
Jacob Kramell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6236 | |
Logan Raichle, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5013 Southport Crossing Way Ste 204, Southport, NC 28461 Phone: 910-604-9550 | |
Michelle Lee Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 902 N Howe St, Southport, NC 28461 Phone: 910-457-4789 Fax: 910-457-5824 | |
Angela Marie Doyle, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1517 N Howe St, Southport, NC 28461 Phone: 910-519-8380 | |
Pamela R Dehne, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6357 Fax: 910-477-6357 | |
Amanda Mcearl Tilyou, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6236 Fax: 910-477-6357 |