| Dr Brogan Tipton, PT, DPT | |
|
24530 Southside Rd, Waynesville, MO 65583-3317 | |
| (217) 855-7745 | |
| Not Available |
| Full Name | Dr Brogan Tipton |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 24530 Southside Rd, Waynesville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225552664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2021048123 (Missouri) | Secondary |
| 225100000X | Physical Therapist | 007181 (Kentucky) | Primary |
| Provider Name | Boone Physician Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
| Provider Name | Central Missouri Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1558436592 PECOS PAC ID: 6901870187 Enrollment ID: O20150915001876 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brogan Tipton, PT, DPT 20336 Scholar Ln, Waynesville, MO 65583-3418 Ph: (217) 855-7745 | Dr Brogan Tipton, PT, DPT 24530 Southside Rd, Waynesville, MO 65583-3317 Ph: (217) 855-7745 |
Lisa Howe, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 217 North St, Waynesville, MO 65583 Phone: 855-786-8782 Fax: 855-786-9298 | |
Kristen Woods, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24530 Southside Rd Ste E, Waynesville, MO 65583 Phone: 573-774-3666 | |
Mary Seeling, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 217 North St, Waynesville, MO 65583 Phone: 573-855-2273 | |
Mr. Michael Tupas Laguitao, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2107 Historic Rte. 66 West, Apt. #2, Waynesville, MO 65583 Phone: 573-774-4125 | |
Melinda Ferguson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Birch Ln, Waynesville, MO 65583 Phone: 573-774-6456 | |
Ma. Teresa Sison Enciso Pt. Pc. Corp Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Ichord Ave, Waynesville, MO 65583 Phone: 573-774-3684 |