| Ross Gardner, DPT | |
|
211 Squire Pope Rd, Summerville, SC 29486-6999 | |
| (208) 613-7361 | |
| (843) 892-8444 |
| Full Name | Ross Gardner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 211 Squire Pope Rd, Summerville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669944831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 11763 (South Carolina) | Primary |
| Provider Name | Primary Therapy Source, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912027343 PECOS PAC ID: 7012002702 Enrollment ID: O20070926000529 |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Gardner, DPT 211 Squire Pope Rd, Summerville, SC 29486-6999 Ph: (208) 613-7361 | Ross Gardner, DPT 211 Squire Pope Rd, Summerville, SC 29486-6999 Ph: (208) 613-7361 |
Katerine Maria Gonzalez Gonzalez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1672 N Main St Ste 11, Summerville, SC 29486 Phone: 843-289-1456 | |
Haleigh Vaughan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 370 E 5th North St, Summerville, SC 29483 Phone: 843-737-6913 | |
Mrs. Jessica Lee Wooten, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 93b Springview Ln, Summerville, SC 29485 Phone: 843-875-4770 | |
Taylor Asher, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1718 State Rd Ste 7, Summerville, SC 29486 Phone: 843-303-9418 | |
Donnie Arastus Gay, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9512 Dorchester Rd Ste 140, Summerville, SC 29485 Phone: 843-695-7970 Fax: 843-695-7971 | |
Lorenzo Philip Bianco, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10160 Dorchester Rd, Summerville, SC 29485 Phone: 843-851-5820 | |
Nancy Pritchard Jackson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 Travelers Blvd, Summerville, SC 29485 Phone: 843-832-8481 Fax: 843-832-8621 |