Princeton Physical Therapy And Sports Medicine Llc is a medicare enrolled "Physical Therapist" provider in Princeton, Missouri. Their current practice location is
807 E Hickland St, Princeton, Missouri. You can reach out to their office (for appointments etc.) via phone at
(660) 748-3600.
Princeton Physical Therapy And Sports Medicine Llc is licensed to practice in Missouri (license number 117457) and it also participates in the medicare program. Princeton Physical Therapy And Sports Medicine Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1871662767.
Healthcare Provider's Profile
| Full Name | Princeton Physical Therapy And Sports Medicine Llc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 807 E Hickland St, Princeton, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871662767
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 10/01/2008
Medicare PECOS Information:
- PECOS PAC ID: 7113095274
- Enrollment ID: O20081003000034
Medical Identifiers
Medical identifiers for Princeton Physical Therapy And Sports Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871662767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 117457 (Missouri) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Princeton Physical Therapy And Sports Medicine Llc acts as a billing entity for following providers:
| Provider Name | Amy L Mcdaniel |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1699860312 PECOS PAC ID: 6608873633 Enrollment ID: I20061103000254 |
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| Provider Name | Daryian Grossman |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1508597634 PECOS PAC ID: 5496292724 Enrollment ID: I20240805003193 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Princeton Physical Therapy And Sports Medicine Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Princeton Physical Therapy And Sports Medicine Llc 807 E Hickland St, Princeton, MO 64673-1227 Ph: (660) 748-3600 | Princeton Physical Therapy And Sports Medicine Llc 807 E Hickland St, Princeton, MO 64673-1227 Ph: (660) 748-3600 |
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