| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679112031 PECOS PAC ID: 2860823903 Enrollment ID: I20200505003009 |
| Provider Name | Sequoyha Outlaw |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154070373 PECOS PAC ID: 9234525825 Enrollment ID: I20220407001468 |
| Provider Name | Kylie Dunavan |
|---|---|
| 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 |
|---|---|
| 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 |