| Dr Jon Ashley Hansford, DPT | |
|
300 Stonecrest Blvd Ste 200, Smyrna, TN 37167-6800 | |
| (615) 355-0487 | |
| (615) 355-0723 |
| Full Name | Dr Jon Ashley Hansford |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 300 Stonecrest Blvd Ste 200, Smyrna, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710177316 | NPI | - | NPPES |
| 004173 | Other | KY | KENTUCKY LICENSE NUMBER |
| 07985 | Other | TN | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 07985 (Tennessee) | Primary |
| 225100000X | Physical Therapist | 004173 (Kentucky) | Secondary |
| Provider Name | Premier Orthopaedics & Sports Medicine Plc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972577351 PECOS PAC ID: 9032023320 Enrollment ID: O20040301001152 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jon Ashley Hansford, DPT 300 Stonecrest Blvd Ste 200, Smyrna, TN 37167-6800 Ph: (615) 355-0487 | Dr Jon Ashley Hansford, DPT 300 Stonecrest Blvd Ste 200, Smyrna, TN 37167-6800 Ph: (615) 355-0487 |
Mr. Garrett Bryan Story, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 741 President Pl Ste 130, Smyrna, TN 37167 Phone: 615-220-0086 Fax: 615-220-1682 | |
Griffin Alexander Moore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 323 Sam Ridley Pkwy W, Smyrna, TN 37167 Phone: 615-220-1417 Fax: 615-220-1419 | |
Ashley Langford, Physical Therapist Medicare: Medicare Enrolled Practice Location: 741 President Pl Ste 130, Smyrna, TN 37167 Phone: 615-220-0086 | |
Derek Henry, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 Stonecrest Pkwy Ste 120, Smyrna, TN 37167 Phone: 615-220-1122 Fax: 615-220-1551 | |
Kyle Jacob Lanphere, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 741 President Pl Ste 130, Smyrna, TN 37167 Phone: 615-220-0086 | |
Christian Haynes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 537 Stonecrest Pkwy Ste 105, Smyrna, TN 37167 Phone: 615-459-3500 | |
Mariam Hakem, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 Stonecrest Pkwy Ste 120, Smyrna, TN 37167 Phone: 615-220-1122 Fax: 615-220-1551 |