| Michael L Pitts, PT | |
|
124 Edwina St, Evergreen, AL 36401 | |
| (251) 216-5118 | |
| (251) 216-5120 |
| Full Name | Michael L Pitts |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 124 Edwina St, Evergreen, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134141229 | NPI | - | NPPES |
| 09015077 | Medicaid | MS | |
| 5879677 | Other | AL | AETNA |
| 1033218524 | Other | MS | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT0884 (Mississippi) | Secondary |
| 225100000X | Physical Therapist | PTH4229 (Alabama) | Primary |
| Provider Name | Encore Rehabilitation, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1003819608 PECOS PAC ID: 3577462126 Enrollment ID: O20051103001194 |
| Provider Name | Bayside Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861033466 PECOS PAC ID: 6204267669 Enrollment ID: O20200519001585 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Pitts, PT 251 Johnston St Se Ste 200, Decatur, AL 35601-2515 Ph: (256) 350-1764 | Michael L Pitts, PT 124 Edwina St, Evergreen, AL 36401 Ph: (251) 216-5118 |
Ausha Weathers-yates, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 124 Edwina St, Evergreen, AL 36401 Phone: 251-216-5118 | |
Kevin J Davis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 124 Edwina St, Evergreen, AL 36401 Phone: 251-216-5118 | |
Joshua C. Walsh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 124 Edwina St, Evergreen, AL 36401 Phone: 251-216-5118 |