Blake Landry Queen (NPI# 1477920684, PAC ID# 6002116340) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1477920684 |
| PAC ID by PECOS | 6002116340 |
| Professional Enrollment ID | I20151118001908 |
| Full Name | Blake Landry Queen |
| Organization Legal Name | SMOKY MOUNTAIN SPORTS MEDICINE AND PHYSICAL THERAPY, INC. |
| Address |
594 Centennial Dr Cullowhee NC 28723-1589 |
| Phone Number | 8282934662 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6002180387 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 594 Centennial Dr, Cullowhee, NC 28723-1589 | 8282934662 | SMOKY MOUNTAIN SPORTS MEDICINE AND PHYSICAL THERAPY, INC. |
| Organization Legal Name | SMOKY MOUNTAIN SPORTS MEDICINE AND PHYSICAL THERAPY, INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Harrison Randazzo | Physical Therapy | Smoky Mountain Sports Medicine and Physical Therapy, Inc. | 80 Songbird Forest Rd, Bryson City, NC 28713-0929 |
| Carlyle R Schomberg | Physical Therapy | Smoky Mountain Sports Medicine and Physical Therapy, Inc. | 59 Loving Way, Clyde, NC 28721-9471 |
| Mary Curtis Kirkpatrick Mccracken | Physical Therapy | Smoky Mountain Sports Medicine and Physical Therapy, Inc. | 594 Centennial Dr, Cullowhee, NC 28723-1589 |
| Gabriel L Peterson | Physical Therapy | Smoky Mountain Sports Medicine and Physical Therapy, Inc. | 80 Songbird Forest Rd, Bryson City, NC 28713-0929 |
| Erik Michael Watkins | Physical Therapy | Smoky Mountain Sports Medicine and Physical Therapy, Inc. | 80 Songbird Forest Rd, Bryson City, NC 28713-0929 |
| Robyn R Duncan | Physical Therapy | Smoky Mountain Sports Medicine and Physical Therapy, Inc. | 80 Songbird Forest Rd, Bryson City, NC 28713-0929 |
| Benjamin Alan Rickert | Physical Therapy | Smoky Mountain Sports Medicine and Physical Therapy, Inc. | 594 Centennial Dr, Cullowhee, NC 28723-1589 |
| Donald L Sinyard | Physical Therapy | Smoky Mountain Sports Medicine and Physical Therapy, Inc. | 80 Songbird Forest Rd, Bryson City, NC 28713-0929 |
| Street Address |
594 CENTENNIAL DR |
| City | CULLOWHEE |
| State | NC |
| Zip | 28723-1589 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Curtis Kirkpatrick Mccracken | Physical Therapy | Smoky Mountain Sports Medicine and Physical Therapy, Inc. | 594 Centennial Dr, Cullowhee, NC 28723-1589 |
| Benjamin Alan Rickert | Physical Therapy | Smoky Mountain Sports Medicine and Physical Therapy, Inc. | 594 Centennial Dr, Cullowhee, NC 28723-1589 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracie Kim Rice | Qualified Audiologist | 3971 Little Savannah Rd, Suite 132, Cullowhee, NC 28723-5804 | |
| Emory Elizabeth Prescott | Speech Language Pathologist | Western Carolina University Controllers Office | 3971 Little Savannah Rd, Suite 132, Cullowhee, NC 28723-5804 |
| Timothy L. Johnston | Family Medicine | 315 Wike Cemetery Rd, Cullowhee, NC 28723-9550 |
| City | CULLOWHEE |
| Zip Code | 28723 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CULLOWHEE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Blake Landry Queen.
| 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.