Pro Therapy is a medicare enrolled "Physical Therapist" provider in Mantachie, Mississippi. Their current practice location is
3077 Highway 371 N, Mantachie, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(662) 282-4949.
Pro Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pro Therapy
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 1629343124.
Healthcare Provider's Profile
| Full Name | Pro Therapy |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 3077 Highway 371 N, Mantachie, Mississippi |
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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: 1629343124
- Provider Enumeration Date: 03/15/2012
- Last Update Date: 06/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 6901060110
- Enrollment ID: O20120619000242
Medical Identifiers
Medical identifiers for Pro Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629343124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pro Therapy acts as a billing entity for following providers:
| Provider Name | Alisha G Comer |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1700807690 PECOS PAC ID: 0840572145 Enrollment ID: I20170121000192 |
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| Provider Name | Katie Leigh Reeves |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1699213462 PECOS PAC ID: 3274817465 Enrollment ID: I20170308000191 |
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| Provider Name | Michael Anthony Mcbryde |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1467930537 PECOS PAC ID: 4284984832 Enrollment ID: I20180904000272 |
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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. Pro Therapy 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 |
Pro Therapy Po Box 205, Mantachie, MS 38855-0205 Ph: (662) 282-4949 | Pro Therapy 3077 Highway 371 N, Mantachie, MS 38855-7274 Ph: (662) 282-4949 |
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