Jennifer L Elam (NPI# 1881855286, PAC ID# 5193884450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1881855286 |
| PAC ID by PECOS | 5193884450 |
| Professional Enrollment ID | I20110511000871 |
| Full Name | Jennifer L Elam |
| Organization Legal Name | EXOS PHYSICAL THERAPY AND SPORTS MEDICINE, LLC |
| Address |
4509 Freidrich Ln Suite 210 Austin TX 78744-1866 |
| Phone Number | 2052593991 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3072872738 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4509 Freidrich Ln, Suite 210, Austin, TX 78744-1866 | 2052593991 | EXOS PHYSICAL THERAPY AND SPORTS MEDICINE, LLC |
| Organization Legal Name | EXOS PHYSICAL THERAPY AND SPORTS MEDICINE, LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Porter | Physical Therapy | Exos Physical Therapy and Sports Medicine, LLC | 16627 Fishhawk Blvd, Lithia, FL 33547-3800 |
| Ryan Huling | Physical Therapy | Exos Physical Therapy and Sports Medicine, LLC | 6542 Goodman Rd, Suite 101, Olive Branch, MS 38654-5559 |
| Aaron Martin | Physical Therapy | Exos Physical Therapy and Sports Medicine, LLC | 7280 Lagae Rd, Suite E, Castle Pines, CO 80108-9454 |
| John Gardner | Physical Therapy | Exos Physical Therapy and Sports Medicine, LLC | 9950 Crooked Creek Rd, Collierville, TN 38017-0881 |
| James A Godin | Physical Therapy | Exos Physical Therapy and Sports Medicine, LLC | 16627 Fishhawk Blvd, Lithia, FL 33547-3800 |
| Todd Pt Omara | Physical Therapy | Exos Physical Therapy and Sports Medicine, LLC | 7280 Lagae Rd, Suite E, Castle Pines, CO 80108-9454 |
| Street Address |
4509 FREIDRICH LN SUITE 210 |
| City | AUSTIN |
| State | TX |
| Zip | 78744-1866 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naomi Ebere Tiku | Nurse Practitioner | Austin Travis County Mental Health and Mental Retardation Center | 5015 S Ih, Suite 35, Austin, TX 78744-2701 |
| Jacqueline Tara Boutros | Clinical Social Worker | Austin Travis County Mental Health and Mental Retardation Center | 5015 S Ih, Suite 35, Austin, TX 78744-2701 |
| Kim Lauren Matejowsky | Clinical Social Worker | Austin Travis County Mental Health and Mental Retardation Center | 5015 S Ih, Suite 35, Austin, TX 78744-2701 |
| David R Goen | Nurse Practitioner | Austin Travis County Mental Health and Mental Retardation Center | 5015 S Ih, Suite 35, Austin, TX 78744-2701 |
| Sherrie Lynn Margiotta | Nurse Practitioner | Austin Travis County Mental Health and Mental Retardation Center | 5015 S Ih, Suite 35, Austin, TX 78744-2701 |
| Reno Gomez | Clinical Social Worker | Austin Travis County Mental Health and Mental Retardation Center | 5015 S Ih, Suite 35, Austin, TX 78744-2701 |
| Adrienne Diraddo | Nurse Practitioner | Austin Travis County Mental Health and Mental Retardation Center | 5015 S Ih, Suite 35, Austin, TX 78744-2701 |
| Asif M Siddiqui | Psychiatry | Austin Travis County Mental Health and Mental Retardation Center | 5015 S Ih, Suite 35, Austin, TX 78744-2701 |
| Lindsey Ann Payton | Clinical Social Worker | Austin Travis County Mental Health and Mental Retardation Center | 5015 S Ih, Suite 35, Austin, TX 78744-2701 |
| David Lewis Schrieber | Clinical Social Worker | Austin Travis County Mental Health and Mental Retardation Center | 5015 S Ih, Suite 35, Austin, TX 78744-2701 |
| Find all physicians in zip 78744 | |||
| City | AUSTIN |
| Zip Code | 78744 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | AUSTIN + 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.