| Ms Lisa L Gilliam, PT | |
|
8904 Cross Park Dr, Knoxville, TN 37923-4703 | |
| (865) 690-2671 | |
| (865) 690-6445 |
| Full Name | Ms Lisa L Gilliam |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 8904 Cross Park Dr, Knoxville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689626541 | NPI | - | NPPES |
| 3154494 | Other | TN | BLUE CROSS |
| 3652046 | Medicaid | TN | |
| CH4394 | Other | TN | MEDICARE-RAILROAD GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1917 (Tennessee) | Primary |
| Provider Name | Grace Rehabilitation Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659485936 PECOS PAC ID: 7517875867 Enrollment ID: O20220826000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisa L Gilliam, PT Po Box 32709, Knoxville, TN 37930-2709 Ph: (865) 558-6484 | Ms Lisa L Gilliam, PT 8904 Cross Park Dr, Knoxville, TN 37923-4703 Ph: (865) 690-2671 |
Ms. Suzanne Grace, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 Fort Sanders West Blvd, Suite 110, Knoxville, TN 37922 Phone: 865-558-4491 Fax: 865-558-4493 | |
Amanda Cardenas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8309 Asheville Hwy, Knoxville, TN 37924 Phone: 865-932-1334 | |
Emily R. Franklin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9333 Park West Blvd, Suite 102, Knoxville, TN 37923 Phone: 865-470-2696 | |
Caleb Satterfield, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4635 Greenway Dr Unit B, Knoxville, TN 37918 Phone: 865-546-0801 | |
Caitlin Souther, Physical Therapist Medicare: Medicare Enrolled Practice Location: 11201 W Point Dr Ste 104, Knoxville, TN 37934 Phone: 865-392-6001 | |
Darlene Faith Starner, PT, MED Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1932 Falling Waters Rd, Knoxville, TN 37922 Phone: 865-406-7129 Fax: 865-951-7273 | |
Sarah Carter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9430 Park West Blvd Ste 230, Knoxville, TN 37923 Phone: 865-560-8550 Fax: 865-560-8551 |