| Morgan Alexandra Boulware, PT, DPT | |
|
4833 Highway 58, Chattanooga, TN 37416-1826 | |
| (423) 553-7972 | |
| (423) 553-7973 |
| Full Name | Morgan Alexandra Boulware |
|---|---|
| Gender | Female |
| Speciality | Physical Therapy |
| Experience | 10 Years |
| Location | 4833 Highway 58, Chattanooga, 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 |
|---|---|---|---|
| 1912316530 | NPI | - | NPPES |
| 511-54899 | Other | AL | BCBS-WEST MADISON |
| 511-54897 | Other | AL | BCBS-CHELSEA |
| 002422 | Other | OPTUM | |
| 102I652175 | Other | AL | MEDICARE PTAN |
| 511-54898 | Other | AL | BCBS-MOODY |
| 511-54895 | Other | AL | BCBS-ATHENS |
| 511-56409 | Other | AL | BCBS-ALTADENA |
| 511-54896 | Other | AL | BCBS-HOOVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10117 (Tennessee) | Primary |
| 225100000X | Physical Therapist | PTH7299 (Alabama) | Secondary |
| 225100000X | Physical Therapist | PT011693 (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agilitas Usa Inc | 3375454648 | 634 |
| Provider Name | Independent Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202 |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Morgan Alexandra Boulware, PT, DPT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-8907 | Morgan Alexandra Boulware, PT, DPT 4833 Highway 58, Chattanooga, TN 37416-1826 Ph: (423) 553-7972 |
Bryan Curtis Clary, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2415 Mccallie Ave, Chattanooga, TN 37404 Phone: 423-622-6200 Fax: 423-622-6200 | |
Anna Hurdle, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2415 Mccallie Ave, Chattanooga, TN 37404 Phone: 423-697-8780 | |
Mr. Hans Calvin Humberger, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2255 Center Street, Suite 104, Chattanooga, TN 37421 Phone: 423-855-0745 Fax: 423-855-7898 | |
Independent Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4626 Highway 58, Chattanooga, TN 37416 Phone: 423-553-7972 Fax: 423-553-7973 | |
Ultimate Performance Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 2211 E Main St Ste C, Chattanooga, TN 37404 Phone: 530-401-0631 | |
Chattanooga Spine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2307 Napier Rd, Suite 103, Chattanooga, TN 37421 Phone: 423-894-0014 | |
Jonathan Lee Brigner, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Parkwood Ave, Chattanooga, TN 37404 Phone: 423-624-1533 |