Tracy M Wilde (NPI# 1962509018, PAC ID# 2769436583) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1962509018 |
| PAC ID by PECOS | 2769436583 |
| Professional Enrollment ID | I20050304000228 |
| Full Name | Tracy M Wilde |
| Organization Legal Name | SPORTS SPINE AND INDUSTRIAL INC |
| Address |
140 Executive Dr Greer SC 29651-1200 |
| Phone Number | 8648018706 |
| Gender | F |
| Credential | PT |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7012977408 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 140 Executive Dr, Greer, SC 29651-1200 | 8648018706 | SPORTS SPINE AND INDUSTRIAL INC |
| Organization Legal Name | SPORTS SPINE AND INDUSTRIAL INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Hartsuiker | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Darlene P Pope | Physical Therapy | Sports Spine and Industrial Inc | 719 Se Main St, Suite B, Simpsonville, SC 29681-3237 |
| Bryan Isbell | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Shannon R Johnson | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Amanda T Somers | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Shannon R Wells | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Jennifer Kirk Smith | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Erin M Riley | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Holly Mader | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Christopher J Cobb | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Street Address |
140 EXECUTIVE DR |
| City | GREER |
| State | SC |
| Zip | 29651-1200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Hartsuiker | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Bryan Isbell | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Sharon B Powell | Optometry | Highland Ophthalmology Associates LLC | 140 Executive Dr, New Windsor, NY 12553-5509 |
| Shannon R Johnson | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Thien Huynh | Ophthalmology | Highland Ophthalmology Associates LLC | 140 Executive Dr, New Windsor, NY 12553-5509 |
| Amanda T Somers | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Shannon R Wells | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Jennifer Kirk Smith | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Julia M Padiyedathu | Ophthalmology | Highland Ophthalmology Associates LLC | 140 Executive Dr, New Windsor, NY 12553-5509 |
| Mary E Davidian | Ophthalmology | Highland Ophthalmology Associates LLC | 140 Executive Dr, New Windsor, NY 12553-5509 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Riley | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Holly Mader | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Christopher J Cobb | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Carly Wilcox | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Kristin G Tripp | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Kaylor Drehoff | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Keely A Isbell | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Corey L Hunt | Physical Therapy | Sports Spine and Industrial Inc | 140 Executive Dr, Greer, SC 29651-1200 |
| Joel Wallace Cox | Chiropractic | 812 N Main St, Greer, SC 29651-1206 | |
| John Stewart | Optometry | 14055 E Wade Hampton Blvd, Greer, SC 29651-1500 | |
| Find all physicians in zip 29651 | |||
| City | GREER |
| Zip Code | 29651 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | GREER + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Tracy M Wilde.
| 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.