| Optimal Performance Physical Therapy | |
|
204 N 15th Ave, Laurel, MS 39440 | |
| (601) 342-2344 | |
| Not Available |
| Full Name | Optimal Performance Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 204 N 15th Ave, Laurel, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831644293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT4130 (Mississippi) | Primary |
| Provider Name | Sara Norval |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861520728 PECOS PAC ID: 0547537003 Enrollment ID: I20170605001542 |
| Provider Name | Lori A Landrum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457470023 PECOS PAC ID: 2365719820 Enrollment ID: I20170609000524 |
| Provider Name | Clark B Rasberry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922136639 PECOS PAC ID: 4183017460 Enrollment ID: I20220209001051 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Performance Physical Therapy Po Box 2414, Laurel, MS 39442-2414 Ph: (601) 342-2344 | Optimal Performance Physical Therapy 204 N 15th Ave, Laurel, MS 39440 Ph: (601) 342-2344 |
Mrs. Melinda Danette Chancellor, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4119 Fax: 601-426-4768 | |
Kourtney Flowers Murphy, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Mason St, Laurel, MS 39440 Phone: 601-399-0534 | |
Mr. Tom A Hall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-399-0534 | |
Mr. George G Collins Jr., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4119 | |
Joseph P Cooley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1707 West 20th Street, Laurel, MS 39442 Phone: 601-428-2004 Fax: 601-428-8833 | |
Mr. Kyle Brannon Crager, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Mason St, Laurel, MS 39440 Phone: 607-399-0534 | |
Mr. Joel Hudson Pierce, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Mason St, Laurel, MS 39440 Phone: 601-399-0534 |