| Maria Rossana S Datuin, PT | |
|
616 W Forest Ave, Jackson, TN 38301-3902 | |
| (731) 422-0330 | |
| (731) 422-0220 |
| Full Name | Maria Rossana S Datuin |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 34 Years |
| Location | 616 W Forest Ave, Jackson, 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 |
|---|---|---|---|
| 1649248097 | NPI | - | NPPES |
| 3652656 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT4194 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aegis Group Practice Llc | 5193036432 | 295 |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376073262 PECOS PAC ID: 6507832573 Enrollment ID: O20171003005084 |
| Provider Name | Tn Therapy Outsource, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891285185 PECOS PAC ID: 2668725664 Enrollment ID: O20181022000384 |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174308647 PECOS PAC ID: 5193036432 Enrollment ID: O20231018002544 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Rossana S Datuin, PT Po Box 400, Jackson, TN 38302-0400 Ph: (731) 423-8697 | Maria Rossana S Datuin, PT 616 W Forest Ave, Jackson, TN 38301-3902 Ph: (731) 422-0330 |
Mrs. Misti T. Nash, PT, CWS, FACCWS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Devonshire Sq, Suite 7, Jackson, TN 38305 Phone: 731-660-5902 | |
Redden Total Therapy-south, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51 S Creek Dr, Jackson, TN 38301 Phone: 731-423-8700 Fax: 731-423-8888 | |
Mrs. Rachel Cain Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 614 Carriage House Dr, Jackson, TN 38305 Phone: 731-668-4449 | |
Mrs. Jamie Marie Borntrager, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 670 Skyline Dr, Jackson, TN 38301 Phone: 731-541-6844 Fax: 731-541-4436 | |
Josefina L Pena, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 544 Roland Ave, Jackson, TN 38301 Phone: 731-421-6950 Fax: 731-421-6999 | |
Mrs. Suzanne Josephine Lim-luy, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2782 N Highland Ave Ste A, Jackson, TN 38305 Phone: 731-664-1172 Fax: 731-664-3139 | |
Kristi Greene, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24 Physicians Dr, Jackson, TN 38305 Phone: 731-410-2308 |