| Walter Trevor Wilczynski, DPT | |
|
226 Village Square Dr, Loudon, TN 37774-2807 | |
| (865) 657-6415 | |
| Not Available |
| Full Name | Walter Trevor Wilczynski |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 226 Village Square Dr, Loudon, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760265854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 16176 (Tennessee) | Primary |
| Provider Name | Agilitas USA, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
| Provider Name | Results-ast JV LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Trevor Wilczynski, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Walter Trevor Wilczynski, DPT 226 Village Square Dr, Loudon, TN 37774-2807 Ph: (865) 657-6415 |
Josie Deal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 226 Village Square Dr, Loudon, TN 37774 Phone: 865-657-6415 |
Haley Patterson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 Dohi Dr, Loudon, TN 37774 Phone: 865-205-3025 Fax: 833-908-2125 |
Alexandra Ely Harris, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 River Rd, Loudon, TN 37774 Phone: 865-458-5411 |
Abby N Regier, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 226 Village Square Dr, Loudon, TN 37774 Phone: 865-657-6415 |
Nancy Given Dunning, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1094 Mulberry St, Loudon, TN 37774 Phone: 865-458-8900 Fax: 865-458-8626 |
Milan Zelich, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Cherokee Pl # 107, Loudon, TN 37774 Phone: 865-408-9344 |
Leslie Lindsey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15000 Highway 72 N, Loudon, TN 37774 Phone: 865-458-4199 Fax: 865-458-3199 |