| Performance Therapy Llc | |
|
Performance Therapy, Llc, 921 W Beacon Street, Philadelphia, MS 39350 | |
| (601) 650-0002 | |
| (601) 650-9902 |
| Full Name | Performance Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | Performance Therapy, Llc, Philadelphia, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851427132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT2372 (Mississippi) | Primary |
| Provider Name | Daniel R Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043383300 PECOS PAC ID: 2567426513 Enrollment ID: I20041118000666 |
| Provider Name | Wayne P Jimenez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003900697 PECOS PAC ID: 8729045729 Enrollment ID: I20041213000598 |
| Provider Name | Wade H Gaston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699867812 PECOS PAC ID: 2567429327 Enrollment ID: I20041214000646 |
| Provider Name | Melissa J Young |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831261718 PECOS PAC ID: 4082641980 Enrollment ID: I20050722000189 |
| Provider Name | Charles T Gee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669492112 PECOS PAC ID: 9234155292 Enrollment ID: I20051019000202 |
| Provider Name | Michael B Wilcher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922170240 PECOS PAC ID: 1850485483 Enrollment ID: I20070926000567 |
| Provider Name | William R Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295731685 PECOS PAC ID: 6406846328 Enrollment ID: I20071017000250 |
| Provider Name | James D Holbrook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649462177 PECOS PAC ID: 7416072186 Enrollment ID: I20100917000879 |
| Provider Name | Donna E Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427240936 PECOS PAC ID: 7618092396 Enrollment ID: I20100917000980 |
| Provider Name | Ashley Pierce |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922266428 PECOS PAC ID: 5799960472 Enrollment ID: I20110421000834 |
| Provider Name | Cathy Cooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053567636 PECOS PAC ID: 9234314980 Enrollment ID: I20110425000272 |
| Provider Name | Amanda Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992732051 PECOS PAC ID: 1456536812 Enrollment ID: I20110428000226 |
| Provider Name | Frederick Scot Huffman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578590287 PECOS PAC ID: 1052596269 Enrollment ID: I20110504000252 |
| Provider Name | Larina S Mason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629320643 PECOS PAC ID: 8820238199 Enrollment ID: I20130710000019 |
| Provider Name | Casie H Peters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679913644 PECOS PAC ID: 6103060207 Enrollment ID: I20130911000295 |
| Provider Name | Tracey D Batson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497859029 PECOS PAC ID: 8921041104 Enrollment ID: I20140801001109 |
| Provider Name | Chelsea Caitlyn Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861824849 PECOS PAC ID: 9638472111 Enrollment ID: I20160115000886 |
| Provider Name | Kristen N Shivers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467810333 PECOS PAC ID: 8022315670 Enrollment ID: I20160324001445 |
| Provider Name | Erin M Settlemir |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710332291 PECOS PAC ID: 7214228329 Enrollment ID: I20160621001462 |
| Provider Name | Hannah Tingle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922458348 PECOS PAC ID: 9537441886 Enrollment ID: I20170120000946 |
| Provider Name | Jeremy T Harvey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366985608 PECOS PAC ID: 0244513406 Enrollment ID: I20170214000075 |
| Provider Name | Haley Davis Mays |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346764289 PECOS PAC ID: 9931471984 Enrollment ID: I20170825000523 |
| Provider Name | Austin W Coley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952825192 PECOS PAC ID: 3274805171 Enrollment ID: I20170826000050 |
| Provider Name | Spencer L Shoemaker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174047054 PECOS PAC ID: 5193098861 Enrollment ID: I20170830003650 |
| Provider Name | Brenna Grace W Shoemaker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427400704 PECOS PAC ID: 7810250370 Enrollment ID: I20180413002118 |
| Provider Name | Hannah Farris Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306330238 PECOS PAC ID: 7810243938 Enrollment ID: I20180703001824 |
| Provider Name | Justin Van Laster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720645831 PECOS PAC ID: 6507190881 Enrollment ID: I20190619002800 |
| Provider Name | Meghan O Pritchard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174178438 PECOS PAC ID: 8426388265 Enrollment ID: I20190923000515 |
| Provider Name | Bethany Brownlee Truhett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558922005 PECOS PAC ID: 7911238118 Enrollment ID: I20191018000623 |
| Provider Name | Carlie Shields |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689046872 PECOS PAC ID: 8921431347 Enrollment ID: I20191125002430 |
| Provider Name | Jennifer W Vaughn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821478785 PECOS PAC ID: 3971897547 Enrollment ID: I20191211002121 |
| Provider Name | Hayden B Fortenberry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801429774 PECOS PAC ID: 0042649873 Enrollment ID: I20200331000183 |
| Provider Name | Janet P Slaughter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629367735 PECOS PAC ID: 4880023563 Enrollment ID: I20200331003210 |
| Provider Name | Courtney V Turner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851706634 PECOS PAC ID: 1254760697 Enrollment ID: I20200406001057 |
| Provider Name | Kaleb Delton Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295350981 PECOS PAC ID: 3870916216 Enrollment ID: I20200702000401 |
| Provider Name | Loagan Mackenzie Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063036242 PECOS PAC ID: 9739502188 Enrollment ID: I20200702000598 |
| Provider Name | Thomas Tubby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265022875 PECOS PAC ID: 8820402183 Enrollment ID: I20210127002051 |
| Provider Name | Brian Hendley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104121821 PECOS PAC ID: 7012321169 Enrollment ID: I20210201000984 |
| Provider Name | Lauren Freeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376137422 PECOS PAC ID: 6901213214 Enrollment ID: I20210405001318 |
| Provider Name | Joanna Hilderbrand |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366034779 PECOS PAC ID: 6709294234 Enrollment ID: I20210421001001 |
| Provider Name | Kaitlyn Martin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154843381 PECOS PAC ID: 5395144539 Enrollment ID: I20210520001719 |
| Provider Name | Gentry Mcmullan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639743859 PECOS PAC ID: 9234538794 Enrollment ID: I20210603001234 |
| Provider Name | Jennifer B Spell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881617579 PECOS PAC ID: 7113973397 Enrollment ID: I20210719001119 |
| Provider Name | Kaitlyn Harthcock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700454675 PECOS PAC ID: 0446653364 Enrollment ID: I20210729000348 |
| Provider Name | Jacey B Clayton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750056909 PECOS PAC ID: 7810393675 Enrollment ID: I20210902003128 |
| Provider Name | Shelby Ray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306408398 PECOS PAC ID: 4587060637 Enrollment ID: I20210915000765 |
| Provider Name | Anna Garrett Terry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639779242 PECOS PAC ID: 3870905086 Enrollment ID: I20210916000701 |
| Provider Name | Allison D Rutland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053088039 PECOS PAC ID: 5698172211 Enrollment ID: I20210924001135 |
| Provider Name | Sarah Newell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316606510 PECOS PAC ID: 9537551452 Enrollment ID: I20220126000598 |
| Provider Name | Angelia L Dykeman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487307401 PECOS PAC ID: 4082008917 Enrollment ID: I20220218000964 |
| Provider Name | Harrison Olinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952916637 PECOS PAC ID: 2769878867 Enrollment ID: I20220329001377 |
| Provider Name | Molly Hamilton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841949914 PECOS PAC ID: 5092102129 Enrollment ID: I20220420000961 |
| Provider Name | Rebekah Adams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255903365 PECOS PAC ID: 9739567082 Enrollment ID: I20220527001894 |
| Provider Name | Shelly Dowell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811625627 PECOS PAC ID: 6800262841 Enrollment ID: I20221017002827 |
| Provider Name | Jackson T Cain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083341325 PECOS PAC ID: 7719353606 Enrollment ID: I20221018001231 |
| Provider Name | Taylor Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366170185 PECOS PAC ID: 0042686826 Enrollment ID: I20221019001662 |
| Provider Name | Brittney Mahoney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639893696 PECOS PAC ID: 6305212127 Enrollment ID: I20221019003002 |
| Provider Name | Rebekah Lynn Gautier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649909581 PECOS PAC ID: 7618346941 Enrollment ID: I20221208002412 |
| Provider Name | Marty J Brock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437793163 PECOS PAC ID: 8022482314 Enrollment ID: I20230329000099 |
| Provider Name | Bailey Stogner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558833525 PECOS PAC ID: 4789038035 Enrollment ID: I20230920004325 |
| Provider Name | Maegan Cook |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952025272 PECOS PAC ID: 1153775762 Enrollment ID: I20231002000949 |
| Provider Name | Lauren Peace |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477105112 PECOS PAC ID: 5294180915 Enrollment ID: I20231016000945 |
| Provider Name | Meredith B Renefrow |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598473084 PECOS PAC ID: 7719332360 Enrollment ID: I20231017001862 |
| Provider Name | Kaylin Mccree |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417665902 PECOS PAC ID: 7012363435 Enrollment ID: I20231020002409 |
| Provider Name | Elizabeth Hust |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326756826 PECOS PAC ID: 4082060637 Enrollment ID: I20231102001148 |
| Provider Name | Ali Stockstill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376305383 PECOS PAC ID: 0345683173 Enrollment ID: I20240208003513 |
| Provider Name | Emily Alford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407618861 PECOS PAC ID: 7618310046 Enrollment ID: I20240213001128 |
| Provider Name | Anna Reed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013779123 PECOS PAC ID: 6901249358 Enrollment ID: I20240213001949 |
| Provider Name | Alyssa Pearson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881456689 PECOS PAC ID: 2860837002 Enrollment ID: I20240228000837 |
| Provider Name | Gabrielle A Hodson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437970936 PECOS PAC ID: 9234663253 Enrollment ID: I20241113004526 |
| Provider Name | Morgan P Mcraney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770306235 PECOS PAC ID: 3476089913 Enrollment ID: I20241209000503 |
| Provider Name | Micah Brooke W Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225852528 PECOS PAC ID: 2062948938 Enrollment ID: I20241216002730 |
| Provider Name | Elizabeth S Hilbun |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770357774 PECOS PAC ID: 6406383892 Enrollment ID: I20241226000102 |
| Provider Name | Elizabeth Seibert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043943608 PECOS PAC ID: 5698202000 Enrollment ID: I20241226001121 |
| Provider Name | Jordan L Carpenter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215592647 PECOS PAC ID: 2961939954 Enrollment ID: I20250103000526 |
| Provider Name | Laurie G Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376855882 PECOS PAC ID: 0446788483 Enrollment ID: I20250103002987 |
| Provider Name | Natalie R Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992238489 PECOS PAC ID: 3971031741 Enrollment ID: I20250107001555 |
| Provider Name | Krista B Byrnes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447074596 PECOS PAC ID: 5294263778 Enrollment ID: I20250111000124 |
| Provider Name | Haley M Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215753017 PECOS PAC ID: 9739617218 Enrollment ID: I20250111000152 |
| Provider Name | Kaitlin Snyder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487113031 PECOS PAC ID: 6406386473 Enrollment ID: I20250205002842 |
| Provider Name | Leslie K Garrett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659990802 PECOS PAC ID: 4789114729 Enrollment ID: I20250206001155 |
| Provider Name | Haley M Couch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689481301 PECOS PAC ID: 4688104649 Enrollment ID: I20250206001876 |
| Provider Name | Mackenzie N Heine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811772809 PECOS PAC ID: 9133659097 Enrollment ID: I20250206002318 |
| Provider Name | Rachel C Lloyd |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184432098 PECOS PAC ID: 7911437884 Enrollment ID: I20250206002770 |
| Provider Name | Anne Berry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336958701 PECOS PAC ID: 7810427630 Enrollment ID: I20250210001488 |
| Provider Name | Victoria Scruggs |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558099275 PECOS PAC ID: 6608306337 Enrollment ID: I20250211002640 |
| Provider Name | Natalie R Stevens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689483059 PECOS PAC ID: 4880124197 Enrollment ID: I20250214002479 |
| Provider Name | Taylor Miller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609374602 PECOS PAC ID: 4789104688 Enrollment ID: I20250221003386 |
| Provider Name | Hayley T Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396553210 PECOS PAC ID: 0749700599 Enrollment ID: I20250224001217 |
| Provider Name | Kacie C Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932913878 PECOS PAC ID: 5890215560 Enrollment ID: I20250225001983 |
| Provider Name | Madeline K Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831882976 PECOS PAC ID: 0244751857 Enrollment ID: I20250311001864 |
| Provider Name | Makayla B Eiland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730848730 PECOS PAC ID: 7719408335 Enrollment ID: I20250311002230 |
| Provider Name | Meredith Mccaskill |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306687199 PECOS PAC ID: 1850813171 Enrollment ID: I20250317001324 |
| Provider Name | Amanda Y Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205633609 PECOS PAC ID: 4082136312 Enrollment ID: I20250317001852 |
| Provider Name | Myra White |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881289882 PECOS PAC ID: 6103349592 Enrollment ID: I20250326002327 |
| Provider Name | Jessica F Graham |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659171601 PECOS PAC ID: 9830613181 Enrollment ID: I20250408001505 |
| Provider Name | Sadie Rw Bourne |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780485649 PECOS PAC ID: 3678097821 Enrollment ID: I20250409000675 |
| Provider Name | Taylor M Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508547381 PECOS PAC ID: 7719402650 Enrollment ID: I20250423001406 |
| Provider Name | Kayla L Baucum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063222008 PECOS PAC ID: 6901321850 Enrollment ID: I20250423001629 |
| Provider Name | Angela V Thornton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114727062 PECOS PAC ID: 8123543089 Enrollment ID: I20250423001829 |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Therapy Llc Performance Therapy, Llc, 921 W Beacon Street, Philadelphia, MS 39350 Ph: (601) 650-0002 | Performance Therapy Llc Performance Therapy, Llc, 921 W Beacon Street, Philadelphia, MS 39350 Ph: (601) 650-0002 |
Mrs. Melissa Gray Clark, R. P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1058 Holland Ave, Philadelphia, MS 39350 Phone: 601-650-9111 Fax: 601-650-1972 | |
Julie Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Holland Ave, Philadelphia, MS 39350 Phone: 601-663-1484 | |
Mrs. Michele Maxey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1058 Holland Ave, Philadelphia, MS 39350 Phone: 601-650-9111 Fax: 601-650-1972 | |
Kathryn Barney, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 E Main St, Suite 1, Philadelphia, MS 39350 Phone: 601-663-1296 | |
Mrs. Charla Ann Bowden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1058 Holland Ave, Philadelphia Physical Therapy, Philadelphia, MS 39350 Phone: 601-650-9111 Fax: 601-650-1972 | |
Airpark Physical Therapy Lp Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1058 Holland Ave, Philadelphia, MS 39350 Phone: 601-650-9111 Fax: 601-650-1972 | |
Sherry Hollingsworth, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 E Main St, Suite 1, Philadelphia, MS 39350 Phone: 601-663-1275 |