| Professional Rehab Associates | |
|
1301 A Harrison Ave, Mccomb, MS 39648 | |
| (601) 250-5455 | |
| (601) 250-5453 |
| Full Name | Professional Rehab Associates |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1301 A Harrison Ave, Mccomb, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801192307 | NPI | - | NPPES |
| 01209052 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Bradley C Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093011595 PECOS PAC ID: 4688654932 Enrollment ID: I20040726000786 |
| Provider Name | Courtney C Watson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144477233 PECOS PAC ID: 0345426565 Enrollment ID: I20110524000057 |
| Provider Name | Kelly H Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164782041 PECOS PAC ID: 3678717436 Enrollment ID: I20130917000329 |
| Provider Name | Autumn E Birdsong |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093371577 PECOS PAC ID: 4284969668 Enrollment ID: I20190708000853 |
| Provider Name | Garrett Wallace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306339262 PECOS PAC ID: 8921438482 Enrollment ID: I20200423002148 |
| Provider Name | Adrienne Douglas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528797131 PECOS PAC ID: 0547642456 Enrollment ID: I20220809000205 |
| Provider Name | Dustin Graves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881475911 PECOS PAC ID: 5395194385 Enrollment ID: I20231215002971 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Rehab Associates 1301 A Harrison Ave, Mccomb, MS 39648 Ph: (601) 250-5455 | Professional Rehab Associates 1301 A Harrison Ave, Mccomb, MS 39648 Ph: (601) 250-5455 |
Judy Thibodeaux, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Maryland Ave, Mccomb, MS 39648 Phone: 601-250-4815 Fax: 601-250-6859 | |
Emily Troxler, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 S Locust St, Mccomb, MS 39648 Phone: 601-684-8111 | |
Taneshia Jones, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 S Locust St, Mccomb, MS 39648 Phone: 601-684-8111 | |
Nigelia Williams, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Maryland Ave, Mccomb, MS 39648 Phone: 601-250-4815 | |
Mr. Brad C Wilson, DPT,ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1301 A Harrison Ave, Professional Rehab Associates, Mccomb, MS 39648 Phone: 601-250-5455 Fax: 601-250-5453 | |
Karen Alicia Hart, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1301a Harrison Ave, Mccomb, MS 39648 Phone: 601-250-5455 Fax: 601-250-5453 | |
Enid Poche Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Maryland Ave, Mccomb, MS 39648 Phone: 601-250-4815 |