Macy Jaye Redmon

Individual provider Active NPI Physical Therapy Assistant · Adamsville, TN

NPI 1083476949 · NPPES record last updated Jan 26, 2024

Key facts

NPI
1083476949
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
8131 (TN)
Practice address
129 W Main St
Adamsville, TN 38310-2203
Phone
(731) 632-0535
Fax
(731) 632-0510
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Physical Therapy Current
since Jan 28, 2024
Accepting new patients

Locations

129 W Main St
Adamsville, TN 38310
Phone (731) 632-0535

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 8131 TN Yes

Addresses

Primary practice location

129 W Main St
Adamsville, TN 38310-2203

Mailing address

529 S Main St
Waynesboro, TN 38485
Phone (931) 722-2778

Other providers in Adamsville, TN

All providers in Adamsville, TN · Physical Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.