| Kelli Jo Brummer, MPT | |
|
501 Adessa Pkwy Ste A140, Lenoir City, TN 37771-6720 | |
| (865) 988-7610 | |
| (865) 988-6636 |
| Full Name | Kelli Jo Brummer |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 22 Years |
| Location | 501 Adessa Pkwy Ste A140, Lenoir City, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609838671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7158 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agilitas Usa, Inc | 3375454648 | 710 |
| Provider Name | Independent Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202 |
| Provider Name | Agilitas Usa, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
| Provider Name | Drayer Physical Therapy Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841712577 PECOS PAC ID: 6901029842 Enrollment ID: O20140522001577 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Jo Brummer, MPT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217 | Kelli Jo Brummer, MPT 501 Adessa Pkwy Ste A140, Lenoir City, TN 37771-6720 Ph: (865) 988-7610 |
Jacob Sherrod, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Market Dr Ste 102a, Lenoir City, TN 37771 Phone: 865-988-7610 Fax: 865-988-6636 | |
Dr. Paul J Haverbusch Iii, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 950 Highway 321 N Ste B, Lenoir City, TN 37771 Phone: 865-986-5644 Fax: 865-986-9001 | |
Daniel Davidson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 Highway 321 N Ste B, Lenoir City, TN 37771 Phone: 865-986-5644 | |
Erin Dellinger, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Adesa Blvd Ste A140, Lenoir City, TN 37771 Phone: 865-333-1461 | |
Amy Mcmahon Dorset, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 423 Medical Park Dr Ste 300, Lenoir City, TN 37772 Phone: 865-271-6080 Fax: 865-271-6081 | |
Nancy Young, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 460 Medical Park Dr, Suite 105, Lenoir City, TN 37772 Phone: 865-988-3925 Fax: 865-988-6986 | |
Li Yin Chin Goode, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 576 Ft Loudoun Med Ctr Dr Ste 100a, Lenoir City, TN 37772 Phone: 865-988-8796 Fax: 865-988-8798 |