| Therapy South - Gluckstadt Llc | |
|
1716 Us 51, Ste N, Madison, MS 39110 | |
| (601) 499-5780 | |
| Not Available |
| Full Name | Therapy South - Gluckstadt Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1716 Us 51, Madison, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134784689 | NPI | - | NPPES |
| 6014995780 | Other | MS | PHONE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Alysia P Newman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104149475 PECOS PAC ID: 7810162765 Enrollment ID: I20111205000840 |
| Provider Name | Andrew W Duggar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871858241 PECOS PAC ID: 1951559392 Enrollment ID: I20120910000734 |
| Provider Name | Elizabeth A Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306940051 PECOS PAC ID: 9537456397 Enrollment ID: I20160921001956 |
| Provider Name | Bradley L Grohovsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407133994 PECOS PAC ID: 7810142908 Enrollment ID: I20180910000775 |
| Provider Name | James P Cranford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598005621 PECOS PAC ID: 3274961156 Enrollment ID: I20200309001638 |
| Provider Name | Benjamin Pickard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356124341 PECOS PAC ID: 7810351798 Enrollment ID: I20230911002718 |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy South - Gluckstadt Llc 2823 Greystone Commercial Blvd, Birmingham, AL 35242-2660 Ph: (205) 745-3660 | Therapy South - Gluckstadt Llc 1716 Us 51, Ste N, Madison, MS 39110 Ph: (601) 499-5780 |
Wayne P Jimenez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 464 Church Rd Ste 400, Madison, MS 39110 Phone: 601-650-0002 Fax: 601-899-0088 | |
Andrea Heard Liess, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Cedar Woods Dr, Madison, MS 39110 Phone: 601-853-8824 | |
Daniel Hartman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 501 Baptist Dr, Madison, MS 39110 Phone: 601-898-5777 | |
Mrs. Kristin Renae Ferrell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Lexington Dr Ste H, Madison, MS 39110 Phone: 601-910-7300 Fax: 601-910-7071 | |
Rachel Gunalda, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Lake Ridge Dr, Madison, MS 39110 Phone: 601-346-9191 Fax: 601-346-3044 | |
Kendall Andy Rives, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7521 Old Canton Rd, Madison, MS 39110 Phone: 601-856-8041 |