| Mackenzie Coghlan Gooch, | |
|
8230 Spanish Fort Blvd Ste B, Spanish Fort, AL 36527-5246 | |
| (251) 385-7979 | |
| (251) 545-3809 |
| Full Name | Mackenzie Coghlan Gooch |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 7 Years |
| Location | 8230 Spanish Fort Blvd Ste B, Spanish Fort, Alabama |
| 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 |
|---|---|---|---|
| 1104440007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTH9741 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Therapy South - Fairhope | 6103284542 | 4 |
| Provider Name | Agilitas Usa, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20120523000672 |
| Provider Name | Benchmark Physical Therapy Of Alabama, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659642916 PECOS PAC ID: 5698930444 Enrollment ID: O20120629000400 |
| Provider Name | Therapy South - Fairhope |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659069425 PECOS PAC ID: 6103284542 Enrollment ID: O20230616002535 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Coghlan Gooch, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Mackenzie Coghlan Gooch, 8230 Spanish Fort Blvd Ste B, Spanish Fort, AL 36527-5246 Ph: (251) 385-7979 |
Robert Dave Lazarine, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30941 Mill Ln, Spanish Fort, AL 36527 Phone: 251-625-2170 Fax: 251-625-2172 | |
Matthew Broussard, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8230 Spanish Fort Blvd Ste 400, Spanish Fort, AL 36527 Phone: 423-238-7217 | |
Mrs. Ashley Deann Rowell, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6880 Falls Church Ct, Spanish Fort, AL 36527 Phone: 251-621-5363 Fax: 251-621-5363 | |
Morgan Dulaney, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30762 State Highway 181, Spanish Fort, AL 36527 Phone: 256-350-1764 | |
Grace P Hernandez, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7626 Spanish Fort Blvd, Spanish Fort, AL 36527 Phone: 251-929-4848 Fax: 251-850-5080 | |
David Michalove, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30762 State Highway 181, Spanish Fort, AL 36527 Phone: 251-625-2170 Fax: 251-625-2172 |