| Mr Gregory Tyrone Peters, MPT | |
|
877 Mcrae Ave, Wadesboro, NC 28170-6491 | |
| (704) 694-9604 | |
| Not Available |
| Full Name | Mr Gregory Tyrone Peters |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 877 Mcrae Ave, Wadesboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326252149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 20679 (Maryland) | Secondary |
| 225100000X | Physical Therapist | P11670 (North Carolina) | Primary |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20130213000101 |
| Provider Name | Advanced Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538787510 PECOS PAC ID: 5496160814 Enrollment ID: O20210217002082 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory Tyrone Peters, MPT 877 Mcrae Ave, Wadesboro, NC 28170-6491 Ph: (704) 694-9604 | Mr Gregory Tyrone Peters, MPT 877 Mcrae Ave, Wadesboro, NC 28170-6491 Ph: (704) 694-9604 |
Eumir Juno Cruz Mayor, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2051 Country Club Rd, Wadesboro, NC 28170 Phone: 704-694-4106 | |
Kristina Marie Johnson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Morven Rd, Wadesboro, NC 28170 Phone: 704-694-6254 | |
Rizalina Bondoc, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2051 Country Club Rd, Wadesboro, NC 28170 Phone: 704-694-4106 |