| Mount Olive Physical Therapy Llc | |
|
232 Smith Chapel Rd, Mount Olive, NC 28365-1917 | |
| (919) 635-4500 | |
| (919) 635-4999 |
| Full Name | Mount Olive Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 232 Smith Chapel Rd, Mount Olive, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841328390 | NPI | - | NPPES |
| 7212357 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8724 (North Carolina) | Primary |
| Provider Name | Michael A Livengood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003896879 PECOS PAC ID: 0648362269 Enrollment ID: I20070827000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Olive Physical Therapy Llc 232 Smith Chapel Rd, Mount Olive, NC 28365-1917 Ph: (919) 635-4500 | Mount Olive Physical Therapy Llc 232 Smith Chapel Rd, Mount Olive, NC 28365-1917 Ph: (919) 635-4500 |
Michael Adam Livengood, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 232 Smith Chapel Rd, Mount Olive, NC 28365 Phone: 919-635-4500 Fax: 919-635-4999 | |
Riley Houston Tyndall, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 232 Smith Chapel Rd, Mount Olive, NC 28365 Phone: 919-635-4500 |