| Michael D Wilson, PT, DPT | |
|
7406 Highway 1 Ste 102, Mansura, LA 71350-4204 | |
| (318) 240-7680 | |
| (318) 240-7681 |
| Full Name | Michael D Wilson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 7406 Highway 1 Ste 102, Mansura, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578186441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10574 (Louisiana) | Primary |
| Provider Name | Therapy Center Of Jefferson Davis Parish, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508971045 PECOS PAC ID: 0345207544 Enrollment ID: O20050120000627 |
| Provider Name | Lemoine Therapy Services Of Cenla Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336242767 PECOS PAC ID: 4789635244 Enrollment ID: O20050202000579 |
| Provider Name | Summit Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1407235203 PECOS PAC ID: 4688986169 Enrollment ID: O20150713000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Wilson, PT, DPT 619 N Main St, Jennings, LA 70546-5347 Ph: (337) 824-8287 | Michael D Wilson, PT, DPT 7406 Highway 1 Ste 102, Mansura, LA 71350-4204 Ph: (318) 240-7680 |
Hunter S Christ, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7406 Highway 1 Ste 102, Mansura, LA 71350 Phone: 318-240-7680 | |
Katelyn M Bellelo, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 7406 Highway 1 Ste 102, Mansura, LA 71350 Phone: 318-240-7680 | |
Jordan J Theriot, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7406 Highway 1 Ste 102, Mansura, LA 71350 Phone: 318-240-7680 Fax: 318-240-7681 | |
Austin T Dufrene, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7406 Highway 1 Ste 102, Mansura, LA 71350 Phone: 318-240-7680 Fax: 318-240-7681 | |
Mylaina N Gary, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7406 Highway 1 Ste 102, Mansura, LA 71350 Phone: 318-240-7680 Fax: 318-240-7681 | |
Scott A Mcbride, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7406 Highway 1 Ste 102, Mansura, LA 71350 Phone: 318-240-7680 Fax: 318-240-7681 |