| Mr Zachary Houston, PT | |
|
3311 Jessie Village Dr, Clemmons, NC 27012-9963 | |
| (336) 765-7058 | |
| Not Available |
| Full Name | Mr Zachary Houston |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3311 Jessie Village Dr, Clemmons, 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 |
|---|---|---|---|
| 1366118747 | NPI | - | NPPES |
| 0397730044 | Other | NC | NSC # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P20647 (North Carolina) | Primary |
| Provider Name | Orthocarolina Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497704217 PECOS PAC ID: 2062316821 Enrollment ID: O20031122000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Zachary Houston, PT 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 Ph: (704) 323-2090 | Mr Zachary Houston, PT 3311 Jessie Village Dr, Clemmons, NC 27012-9963 Ph: (336) 765-7058 |
Alissa Foote, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7144 Village Medical Cir, Clemmons, NC 27012 Phone: 336-893-2460 | |
Mrs. Allison Skillman Moore, PT, MHA, MBA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6915 Village Medical Cir, Clemmons, NC 27012 Phone: 336-893-2512 | |
Darin Nolting, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2341 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-713-3275 | |
Justin Fishkin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7210 Village Medical Cir Ste 115, Clemmons, NC 27012 Phone: 336-893-2460 | |
Jamie Lauren Lunsford, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4954 Britton Gardens Rd, Clemmons, NC 27012 Phone: 828-361-0357 | |
Landon Clark Ward, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7210 Village Medical Cir Ste 115, Clemmons, NC 27012 Phone: 336-893-2460 Fax: 336-893-2468 |