Timothy M Hart Jr. (NPI# 1174567564, PAC ID# 1355423583) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1174567564 |
| PAC ID by PECOS | 1355423583 |
| Professional Enrollment ID | I20080128000379 |
| Full Name | Timothy M Hart Jr. |
| Organization Legal Name | TRI-STATE PHYSICAL THERAPY NUMBER 1 INC |
| Address |
8660 Fern Ave Suite 160 Shreveport LA 71105-5694 |
| Phone Number | 3186317999 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3274428610 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2906 Plantation Dr, Bossier City, LA 71111-5851 | 3186317999 | TRI-STATE PHYSICAL THERAPY NUMBER 1 INC |
| 8660 Fern Ave, Suite 160, Shreveport, LA 71105-5694 | 3186317999 | TRI-STATE PHYSICAL THERAPY NUMBER 1 INC |
| Organization Legal Name | TRI-STATE PHYSICAL THERAPY NUMBER 1 INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey M Phillips | Physical Therapy | Tri-state Physical Therapy Number 1 Inc | 2906 Plantation Dr, Bossier City, LA 71111-5851 |
| Lisa H Davis | Physical Therapy | Tri-state Physical Therapy Number 1 Inc | 8660 Fern Ave, Suite 160, Shreveport, LA 71105-5694 |
| Virginia S Loftin | Physical Therapy | Tri-state Physical Therapy Number 1 Inc | 8660 Fern Ave, Suite 160, Shreveport, LA 71105-5694 |
| Christopher S Berry | Physical Therapy | Tri-state Physical Therapy Number 1 Inc | 8660 Fern Ave, Suite 160, Shreveport, LA 71105-5694 |
| Mary C Roper | Occupational Therapy | Tri-state Physical Therapy Number 1 Inc | 8660 Fern Ave, Suite 160, Shreveport, LA 71105-5694 |
| Street Address |
8660 FERN AVE SUITE 160 |
| City | SHREVEPORT |
| State | LA |
| Zip | 71105-5694 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa H Davis | Physical Therapy | Tri-state Physical Therapy Number 1 Inc | 8660 Fern Ave, Suite 160, Shreveport, LA 71105-5694 |
| Virginia S Loftin | Physical Therapy | Tri-state Physical Therapy Number 1 Inc | 8660 Fern Ave, Suite 160, Shreveport, LA 71105-5694 |
| Christopher S Berry | Physical Therapy | Tri-state Physical Therapy Number 1 Inc | 8660 Fern Ave, Suite 160, Shreveport, LA 71105-5694 |
| Mary C Roper | Occupational Therapy | Tri-state Physical Therapy Number 1 Inc | 8660 Fern Ave, Suite 160, Shreveport, LA 71105-5694 |
| Jefferey D. Adair | Interventional Pain Management | Ark-la-tex Spine, Apmc | 8660 Fern Ave, Shreveport, LA 71105-5657 |
| Jeannie S Mcallister | Physician Assistant | Ark-la-tex Spine, Apmc | 8660 Fern Ave, Shreveport, LA 71105-5657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mairus T Mcfarland | General Practice | 3331 Youree Dr, Shreveport, LA 71105-2115 | |
| Suresh Kumar | Neurology | 3555 Youree Dr, Shreveport, LA 71105-2119 | |
| James S Harrold Jr. | Psychiatry | 2924 Knight St, Suite 434, Shreveport, LA 71105-2413 | |
| Kimberly D. Law | Psychiatry | 2924 Knight St, Suite 414, Shreveport, LA 71105-2415 | |
| Orlise M Aubrey | Clinical Social Worker | 2924 Knight St, Suite 414, Shreveport, LA 71105-2415 | |
| Tom Staats | Clinical Psychologist | Comprehensive Assessments, Inc | 3010 Knight St, Shreveport, LA 71105-2541 |
| Suzannah K York-crump | Physical Therapy | Studio P3 LLC | 266 Ockley Dr, Shreveport, LA 71105-3025 |
| Elizabeth M Hansen | Physical Therapy | Studio P3 LLC | 266 Ockley Dr, Shreveport, LA 71105-3025 |
| Carson S Holtzclaw | Physician Assistant | Urgent Care of Louisiana LLC | 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175 |
| Ayesha Tabassom | Emergency Medicine | Urgent Care of Louisiana LLC | 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175 |
| Find all physicians in zip 71105 | |||
| City | SHREVEPORT |
| Zip Code | 71105 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SHREVEPORT + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.