Jonathan Robert Mace (NPI# 1043667553, PAC ID# 3971896622) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1043667553 |
| PAC ID by PECOS | 3971896622 |
| Professional Enrollment ID | I20170731001585 |
| Full Name | Jonathan Robert Mace |
| Organization Legal Name | AGILITAS USA INC |
| Address |
1680 Union Ave Suite 106 Memphis TN 38104-3768 |
| Phone Number | 9019690297 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3375454648 |
| Number of Group Practice Members | 408 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1680 Union Ave, Suite 106, Memphis, TN 38104-3768 | 9019690297 | AGILITAS USA INC |
| Organization Legal Name | AGILITAS USA INC |
| Physicians | 548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jasmine Jacobs | Physical Therapy | Agilitas Usa Inc | 11720 Medlock Bridge Rd, Suite 550, Johns Creek, GA 30097-2505 |
| Brittney Santella | Physical Therapy | Agilitas Usa Inc | 843 Eastern Byp, Suite 3, Richmond, KY 40475-2569 |
| Shaleesha Nyree-zeni Coleman | Physical Therapy | Agilitas Usa Inc | 1621 Midland Trl, Shelbyville, KY 40065-1638 |
| Seth Lawrence | Physical Therapy | Agilitas Usa Inc | 8475 Hwy 6 N, Suite K, Houston, TX 77095-2019 |
| Christopher Hedgepeth | Physical Therapy | Agilitas Usa Inc | 324 Sutton Rd Se, Suite B, Owens Cross Roads, AL 35763-9372 |
| Katelyn Colson | Physical Therapy | Agilitas Usa Inc | 11310 Memorial Pkwy Sw, Unit L, Huntsville, AL 35803-2148 |
| Clayton Mitchell Austin | Physical Therapy | Agilitas Usa Inc | 1525 Gunbarrel Rd, Suite 105, Chattanooga, TN 37421-3124 |
| Peter Terrebonne Jr. | Physical Therapy | Agilitas Usa Inc | 131 Hatcher Ln B, Clarksville, TN 37043-5987 |
| Kevin Lacke | Physical Therapy | Agilitas Usa Inc | 102 Wonder World Dr, 401 Results Physiotherapy, San Marcos, TX 78666-6072 |
| Keelin Frances Treacy | Physical Therapy | Agilitas Usa Inc | 11637 Bandera Rd, Suite 101, San Antonio, TX 78250-6851 |
| Street Address |
1680 UNION AVE SUITE 106 |
| City | MEMPHIS |
| State | TN |
| Zip | 38104-3768 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shaw Stanford Dickerson | Physical Therapy | Agilitas Usa Inc | 1680 Union Ave, Suite 106, Memphis, TN 38104-3768 |
| Sharwil Bell | Physical Therapy | Agilitas Usa Inc | 1680 Union Ave, Suite 106, Memphis, TN 38104-3768 |
| Alyssa Herringshaw-grewe | Physical Therapy | Agilitas Usa Inc | 1680 Union Ave, Suite 106, Memphis, TN 38104-3768 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan F Nelson | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| David Keith Jennings | Internal Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sheila M Thomas | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Aditee S Satpute | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Banjul L Covington | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sharon L Thorpe | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Glenn Scott Morris | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Melissa Jean Fullerton | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Tammy L Carnahan | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Daniel G Fuller | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Find all physicians in zip 38104 | |||
| City | MEMPHIS |
| Zip Code | 38104 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MEMPHIS + 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.