| Ambassador Physical Therapy | |
|
1730 Dickerson Blvd Ste D, Monroe, NC 28110-2884 | |
| (704) 283-6700 | |
| (704) 283-6700 |
| Full Name | Ambassador Physical Therapy |
|---|---|
| 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 | 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 | 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 | 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 | 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 |
|---|---|
| Ambassador Physical Therapy 1730 Dickerson Blvd Ste D, Monroe, NC 28110-2884 Ph: (704) 283-6700 | Ambassador Physical Therapy 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: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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 |
Andrea S Hayes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Hospital Dr, Monroe, NC 28112 Phone: 704-283-3277 |