Ryan Mathis Shotts (NPI# 1588131106, PAC ID# 8729322714) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1588131106 |
| PAC ID by PECOS | 8729322714 |
| Professional Enrollment ID | I20181203000200 |
| Full Name | Ryan Mathis Shotts |
| Organization Legal Name | SOG PHYSICAL THERAPY |
| Address |
1211 S Gloster St Suite C Tupelo MS 38801-6548 |
| Phone Number | 6627674200 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1850627209 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1211 S Gloster St, Suite C, Tupelo, MS 38801-6548 | 6627674200 | SOG PHYSICAL THERAPY |
| Organization Legal Name | SOG PHYSICAL THERAPY |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabrielle Chiniche | Occupational Therapy | Sog Physical Therapy | 1211 S Gloster St, Suite C, Tupelo, MS 38801-6548 |
| Jamee F Zepponi | Physical Therapy | Sog Physical Therapy | 1211 S Gloster St, Suite C, Tupelo, MS 38801-6548 |
| Taylor M Brown | Physical Therapy | Sog Physical Therapy | 1211 S Gloster St, Suite C, Tupelo, MS 38801-6548 |
| Paul A Kosko | Physical Therapy | Sog Physical Therapy | 1211 S Gloster St, Suite C, Tupelo, MS 38801-6548 |
| Kaye B Cannon | Occupational Therapy | Sog Physical Therapy | 1211 S Gloster St, Suite C, Tupelo, MS 38801-6548 |
| Street Address |
1211 S GLOSTER ST SUITE C |
| City | TUPELO |
| State | MS |
| Zip | 38801-6548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabrielle Chiniche | Occupational Therapy | Sog Physical Therapy | 1211 S Gloster St, Suite C, Tupelo, MS 38801-6548 |
| Jamee F Zepponi | Physical Therapy | Sog Physical Therapy | 1211 S Gloster St, Suite C, Tupelo, MS 38801-6548 |
| Richard D Rainey | Orthopedic Surgery | Specialty Orthopedic Group of Mississippi Pllc | 1211 S Gloster St, Suite A, Tupelo, MS 38801-6535 |
| Lori L Gray | Certified Registered Nurse Anesthetist (crna) | North Mississippi Anesthesia LLC | 1211 S Gloster St, Suite B, Tupelo, MS 38801-6535 |
| Stace G Beard | Certified Registered Nurse Anesthetist (crna) | North Mississippi Anesthesia LLC | 1211 S Gloster St, Suite B, Tupelo, MS 38801-6535 |
| Ann C. Roberson | Anesthesiology | North Mississippi Anesthesia LLC | 1211 S Gloster St, Suite B, Tupelo, MS 38801-6535 |
| Robin A Mcdonald | Nurse Practitioner | Specialty Orthopedic Group of Mississippi Pllc | 1211 S Gloster St, Suite A, Tupelo, MS 38801-6535 |
| Taylor M Brown | Physical Therapy | Sog Physical Therapy | 1211 S Gloster St, Suite C, Tupelo, MS 38801-6548 |
| Paul A Kosko | Physical Therapy | Sog Physical Therapy | 1211 S Gloster St, Suite C, Tupelo, MS 38801-6548 |
| Sonya N Pippins | Nurse Practitioner | Specialty Orthopedic Group of Mississippi Pllc | 1211 S Gloster St, Suite A, Tupelo, MS 38801-6535 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Porter Anderson | Physician Assistant | 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801 | |
| Sylvia Blanchard | Nurse Practitioner | 109 Parkgate, Tupelo, MS 38801 | |
| Lloyd Perry Britt Jr. | Optometry | 2270 W Main, Suite A, Tupelo, MS 38801-3144 | |
| Katie Elizabeth Richardson | Optometry | 2005 W Main St, Suite 102, Tupelo, MS 38801-3214 | |
| Rickey H Bullard | Podiatry | 1902 W Main St, Tupelo, MS 38801-3228 | |
| Chika Uchechukwu Iwueke | Psychiatry | 1601 W Main St, Suite D, Tupelo, MS 38801-3300 | |
| James Byron Shipp | Ophthalmology | 1413 W Main St, Tupelo, MS 38801-3400 | |
| Michelle M Hill | Qualified Speech Language Pathologist | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Janet H Smith | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Lee A Stewart | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Find all physicians in zip 38801 | |||
| City | TUPELO |
| Zip Code | 38801 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | TUPELO + 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.