| Physical Therapy Center,llc | |
|
1730 Dickerson Blvd Ste D, Monroe, NC 28110-2884 | |
| (704) 283-6700 | |
| (704) 283-6700 |
| Full Name | Physical Therapy Center,llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1730 Dickerson Blvd Ste D, Monroe, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053545988 | NPI | - | NPPES |
| 1538278189 | Other | NC | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9417 (North Carolina) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Todd D Koos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538278189 PECOS PAC ID: 5092767368 Enrollment ID: I20050221000203 |
| Provider Name | John Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265849483 PECOS PAC ID: 8527285758 Enrollment ID: I20161219000689 |
| Provider Name | Lee Cramer Boswell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447642954 PECOS PAC ID: 5890060719 Enrollment ID: I20171003006292 |
| Provider Name | Casey M Tarwater |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700344504 PECOS PAC ID: 4981946589 Enrollment ID: I20190501001378 |
| Provider Name | Matthew Page |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528692613 PECOS PAC ID: 3870921968 Enrollment ID: I20200324002261 |
| Provider Name | Joshua E Byrd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669058848 PECOS PAC ID: 8527476035 Enrollment ID: I20210422001642 |
| Provider Name | Christopher Michael Hux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255715413 PECOS PAC ID: 7315253317 Enrollment ID: I20210909003382 |
| Provider Name | Virginia Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346824513 PECOS PAC ID: 7113324146 Enrollment ID: I20210917001917 |
| Provider Name | Austin T Sherman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922677848 PECOS PAC ID: 2567869142 Enrollment ID: I20220226000120 |
| Provider Name | Brittany Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083381073 PECOS PAC ID: 4789080565 Enrollment ID: I20220609001463 |
| Provider Name | Stefan Balciunas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629792890 PECOS PAC ID: 4688041460 Enrollment ID: I20221108001686 |
| Provider Name | Keran Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902230824 PECOS PAC ID: 8325323777 Enrollment ID: I20230824004154 |
| Provider Name | Randal Bryce Braswell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609558246 PECOS PAC ID: 9133578594 Enrollment ID: I20231211000943 |
| Provider Name | Christopher Michael Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366284200 PECOS PAC ID: 7416495106 Enrollment ID: I20240813001377 |
| Provider Name | Eric Routten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134774029 PECOS PAC ID: 7810329125 Enrollment ID: I20241017003675 |
| Provider Name | Macy Barclay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821823444 PECOS PAC ID: 1254866585 Enrollment ID: I20241125000346 |
| Provider Name | Amy Mcwaters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245718188 PECOS PAC ID: 3375078165 Enrollment ID: I20241203003207 |
| Provider Name | Jonathan Andrew Burton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386456663 PECOS PAC ID: 7517481708 Enrollment ID: I20250409001907 |
| Provider Name | Timothy Joel Leckrone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396540159 PECOS PAC ID: 5991220618 Enrollment ID: I20250415003426 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Therapy Center,llc 1730 Dickerson Blvd Ste D, Monroe, NC 28110-2884 Ph: (704) 283-6700 | Physical Therapy Center,llc 1730 Dickerson Blvd Ste D, Monroe, NC 28110-2884 Ph: (704) 283-6700 |
Songbird Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1424 Clarence Secrest Rd, Monroe, NC 28110 Phone: 704-999-7173 | |
Brittany Noelle Swink, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2840 W Highway 74, Monroe, NC 28110 Phone: 704-234-7461 | |
Paulina Chavez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2814 Gray Fox Rd, Monroe, NC 28110 Phone: 704-821-0568 | |
Marcus Hudson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2840 W Highway 74, Monroe, NC 28110 Phone: 704-234-7461 | |
Emily Baeuerle, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2814 Gray Fox Rd, Monroe, NC 28110 Phone: 704-821-0568 | |
Tia Marie Webb, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2814 Gray Fox Rd, Monroe, NC 28110 Phone: 704-821-0568 Fax: 704-821-0570 |