| Mr Todd William Granger, PT | |
|
401 Wildwood Crossings, Birmingham, AL 35211-6417 | |
| (334) 221-5750 | |
| Not Available |
| Full Name | Mr Todd William Granger |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 401 Wildwood Crossings, Birmingham, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689775553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 33496 (California) | Secondary |
| 225100000X | Physical Therapist | PT 009043 (Georgia) | Primary |
| Provider Name | Rebound Sports And Orthopedic Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407888902 PECOS PAC ID: 6204834906 Enrollment ID: O20070117000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Todd William Granger, PT 401 Wildwood Crossings, Birmingham, AL 35211-6417 Ph: (334) 221-5750 | Mr Todd William Granger, PT 401 Wildwood Crossings, Birmingham, AL 35211-6417 Ph: (334) 221-5750 |
Mary Katherine Walker, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-228-7600 Fax: 205-639-0990 | |
Ms. Jenesis C. Safford, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 19th St S, Room 8307, Birmingham, AL 35233 Phone: 205-933-4390 | |
Jason Cooper Grammer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3125 Independence Dr, Suite 300b, Birmingham, AL 35209 Phone: 205-879-7501 Fax: 205-879-0675 | |
Samantha Specht, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-7763 | |
Ms. Robin Vanchina, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3125 Independence Dr, 300b, Birmingham, AL 35209 Phone: 205-879-7501 Fax: 205-879-0675 | |
Dr. Olivia Avalon Johnson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3125 Independence Dr Ste 300b, Birmingham, AL 35209 Phone: 205-263-2770 Fax: 205-263-0994 | |
James Wallace Henry, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-228-7631 |