Spencer L Shoemaker (NPI# 1174047054, PAC ID# 5193098861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1174047054 |
| PAC ID by PECOS | 5193098861 |
| Professional Enrollment ID | I20170830003650 |
| Full Name | Spencer L Shoemaker |
| Organization Legal Name | PERFORMANCE THERAPY LLC |
| Address |
201 S Brooks Ave Pelahatchie MS 39145 |
| Phone Number | 6017595006 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7012971047 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 201 S Brooks Ave, Pelahatchie, MS 39145 | 6017595006 | PERFORMANCE THERAPY LLC |
| Organization Legal Name | PERFORMANCE THERAPY LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenna Grace W Shoemaker | Occupational Therapy | Performance Therapy LLC | 1301 W Government St, Suite 104, Brandon, MS 39042-3196 |
| Lauren Rozas | Physical Therapy | Performance Therapy LLC | 5160 Chataignier Rd, Ville Platte, LA 70586-6853 |
| Stephanie L Wilcher | Occupational Therapy | Performance Therapy LLC | 1018 Hwy 16 E, Carthage, MS 39051-4220 |
| Donna E Martin | Physical Therapy | Performance Therapy LLC | 720 A 3rd St Sw, Magee, MS 39111-3995 |
| Adam M Moore | Physical Therapy | Performance Therapy LLC | 1883 Hwy 43 S, Suite C, Canton, MS 39046-8406 |
| Wayne P Jimenez | Physical Therapy | Performance Therapy LLC | 464 Church Rd, Suite 400, Madison, MS 39110-6940 |
| Daniel R Young Ii | Physical Therapy | Performance Therapy LLC | 921 W Beacon St, Philadelphia, MS 39350-8908 |
| Frederick Scot Huffman | Physical Therapy | Performance Therapy LLC | 921 W Beacon St, Philadelphia, MS 39350-8908 |
| James D Holbrook | Physical Therapy | Performance Therapy LLC | 720 A 3rd St Sw, Magee, MS 39111-3995 |
| Casie H Peters | Physical Therapy | Performance Therapy LLC | 201 S Brooks Ave, Pelahatchie, MS 39145 |
| Street Address |
201 S BROOKS AVE |
| City | PELAHATCHIE |
| State | MS |
| Zip | 39145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casie H Peters | Physical Therapy | Performance Therapy LLC | 201 S Brooks Ave, Pelahatchie, MS 39145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Ann Griffin | Nurse Practitioner | 507 2nd St, Pelahatchie, MS 39145-2786 | |
| Jerry L Nash | Nurse Practitioner | Family Health Care Clinic Inc | 100 N Brooks St, Pelahatchie, MS 39145-3092 |
| City | PELAHATCHIE |
| Zip Code | 39145 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PELAHATCHIE + 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.