| Tracee Latashia Smith Jones, PT | |
|
230 Redhawk Way Ste 110, Blythewood, SC 29016-9286 | |
| (803) 314-5600 | |
| (803) 314-5601 |
| Full Name | Tracee Latashia Smith Jones |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 230 Redhawk Way Ste 110, Blythewood, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043894058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10781 (South Carolina) | Primary |
| 225100000X | Physical Therapist | CP004768T (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Drayer Physical Therapy-south Carolina ,llc | 7315171394 | 46 |
| Provider Name | Benchmark Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811213341 PECOS PAC ID: 3779726468 Enrollment ID: O20130828000417 |
| Provider Name | Drayer Physical Therapy-south Carolina ,llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1841622354 PECOS PAC ID: 7315171394 Enrollment ID: O20131004000553 |
| Provider Name | Agilitas Usa, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20151021002796 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracee Latashia Smith Jones, PT Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 314-5600 | Tracee Latashia Smith Jones, PT 230 Redhawk Way Ste 110, Blythewood, SC 29016-9286 Ph: (803) 314-5600 |
Darilyn Virginia Galloway-coker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Pine Loop Dr, Blythewood, SC 29016 Phone: 803-661-7948 | |
Katherine Zook, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 135 Blythewood Rd Ste J, Blythewood, SC 29016 Phone: 803-851-1037 | |
William Morrison, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 135 Blythewood Rd Ste J, Blythewood, SC 29016 Phone: 803-851-1037 | |
Drayer Physical Therapy - South Carolina, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 Blythewood Rd Ste J, Blythewood, SC 29016 Phone: 803-851-1037 Fax: 803-851-1820 | |
Caitlin Boyles, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 135 Blythewood Rd Ste J, Blythewood, SC 29016 Phone: 803-851-1037 | |
Engage Pediatric Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Overlook Dr, Blythewood, SC 29016 Phone: 803-261-4965 |