| Jessie Mizzell, PT/DPT | |
|
119 Office Park Dr, Orangeburg, SC 29118-2407 | |
| (803) 937-5605 | |
| (803) 937-6256 |
| Full Name | Jessie Mizzell |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 119 Office Park Dr, Orangeburg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639924277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12212 (South Carolina) | Primary |
| Provider Name | Works Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215543541 PECOS PAC ID: 1951711597 Enrollment ID: O20201110001258 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessie Mizzell, PT/DPT 3374 Railroad Ave, Bamberg, SC 29003-8248 Ph: (803) 245-0808 | Jessie Mizzell, PT/DPT 119 Office Park Dr, Orangeburg, SC 29118-2407 Ph: (803) 937-5605 |
Shanelle Natalie Balfour, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 Broughton St, Orangeburg, SC 29115 Phone: 803-534-4050 Fax: 803-534-0408 | |
Neil Gallagher, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2650 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-536-5509 | |
Charles Francis Jacob, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2650 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-536-5509 | |
Emily Lauren Walker, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2650 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-536-5509 Fax: 803-536-4104 | |
Mr. John Christopher Lukowski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-4380 Fax: 803-395-4376 | |
Ellen Fay Patrick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 119 Office Park Dr, Orangeburg, SC 29118 Phone: 803-536-5509 Fax: 843-536-4104 | |
Ryan Hagerty, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1304 Glen Gloria St, Orangeburg, SC 29118 Phone: 423-682-8840 |