| Mark Ryan Green, PT | |
|
29185 Highway 191, Many, LA 71449-6313 | |
| (318) 590-9140 | |
| (318) 590-9141 |
| Full Name | Mark Ryan Green |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 29185 Highway 191, Many, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811123862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 07572 (Louisiana) | Primary |
| Provider Name | Brewer Physical Therapy & Associates Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477709681 PECOS PAC ID: 9931275419 Enrollment ID: O20080908000005 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Ryan Green, PT 29185 Highway 191, Many, LA 71449-6313 Ph: (318) 590-9140 | Mark Ryan Green, PT 29185 Highway 191, Many, LA 71449-6313 Ph: (318) 590-9140 |
Crow Physical Therapy Services, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 29185 Highway 191, Many, LA 71449 Phone: 318-332-1741 | |
Mr. Jeremiah Rivers, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 Fisher Rd, Many, LA 71449 Phone: 318-214-0800 | |
Mr. James Keith Broussard, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 295 Highland Dr, Many, LA 71449 Phone: 318-256-6285 Fax: 318-256-6658 | |
Kearstin Cooley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 326 Fisher Road, Many, LA 71449 Phone: 318-256-0660 Fax: 318-256-0661 | |
Mr. Ronnie A Wagley Jr., M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 Fisher Rd, Many, LA 71449 Phone: 318-256-0800 Fax: 318-238-2811 | |
Natchitoches Outpatient Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 Fisher Rd, Many, LA 71449 Phone: 318-256-0800 Fax: 318-214-4493 | |
Joshua Crow, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 29185 Highway 191, Many, LA 71449 Phone: 318-590-9140 Fax: 318-590-9141 |