Patterson Physical Therapy Llc | |
176 W University Pkwy Ste E-f, Jackson, TN 38305-1618 | |
(731) 300-4950 | |
(731) 300-4951 |
Full Name | Patterson Physical Therapy Llc |
---|---|
Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 176 W University Pkwy Ste E-f, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770928533 | NPI | - | NPPES |
Q073075 | Medicaid | TN | |
3378522 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT0000003309 (Tennessee) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Provider Name | Madonna N Howerton-bradley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437213147 PECOS PAC ID: 2769442482 Enrollment ID: I20111215000573 |
Provider Name | Laura Elizabeth Patterson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780715474 PECOS PAC ID: 1850370610 Enrollment ID: I20130625000363 |
Provider Name | Laura C Courtner |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134551419 PECOS PAC ID: 9032345616 Enrollment ID: I20131204001645 |
Provider Name | Veronica Britt Ashlock |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669594461 PECOS PAC ID: 5294082053 Enrollment ID: I20180725000495 |
Provider Name | Gerardo Adrian Jara |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821502402 PECOS PAC ID: 0244589398 Enrollment ID: I20180822002009 |
Provider Name | Molly Schantz |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770123341 PECOS PAC ID: 8820428220 Enrollment ID: I20200427002390 |
Provider Name | Susan J Hodges |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679112031 PECOS PAC ID: 2860823903 Enrollment ID: I20200505003009 |
Provider Name | Sequoyha Outlaw |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659921948 PECOS PAC ID: 1951732288 Enrollment ID: I20200520002220 |
Provider Name | Laura J Wilson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760147789 PECOS PAC ID: 7810382363 Enrollment ID: I20220318000941 |
Provider Name | Aneri Shah |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154070373 PECOS PAC ID: 9234525825 Enrollment ID: I20220407001468 |
Provider Name | Shelby Lynn Jestice |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194449355 PECOS PAC ID: 5698142651 Enrollment ID: I20221103001195 |
Provider Name | Kylie Dunavan |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508573270 PECOS PAC ID: 5496128860 Enrollment ID: I20230306001643 |
Provider Name | Baylee Bryant Clifton |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720761398 PECOS PAC ID: 8820450216 Enrollment ID: I20230816004413 |
Provider Name | Dominique Nicole Light |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265980304 PECOS PAC ID: 4284097460 Enrollment ID: I20230906001481 |
Provider Name | Cynthia Thomson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528298932 PECOS PAC ID: 4385798941 Enrollment ID: I20231108000301 |
Mailing Address | Practice Location Address |
---|---|
Patterson Physical Therapy Llc 176 W University Pkwy Ste E-f, Jackson, TN 38305-1618 Ph: (731) 300-4950 | Patterson Physical Therapy Llc 176 W University Pkwy Ste E-f, Jackson, TN 38305-1618 Ph: (731) 300-4950 |