MEDICARE: ROBERT BRADLEY WOODS PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	PTA4126	MS

General Provider Information

NPI Number	:	1598958092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT BRADLEY WOODS PTA

Provider Business Mailing Address
First Line	:	104 W RAILROAD AVE N
Second Line	:
City	:	CRYSTAL SPRINGS
State	:	MS
Zip	:	39059-2154
Country	:	US
Telephone Number	:	601-892-8707
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 W RAILROAD AVE N
Second Line	:
City	:	CRYSTAL SPRINGS
State	:	MS
Zip	:	39059-2154
Country	:	US
Telephone Number	:	601-892-8707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2007
Last Update Date	:	08/20/2007

Similar Medicare Providers

1457497349 — MRS. TONYA G MCLENDON PT
Practice Location Address:

102 W RAILROAD AVE N
CRYSTAL SPRINGS, MS
39059-2154

Practice Phone: 601-892-8707
Practice Fax: 601-892-7614

1578823928 — GUARDIAN CARE LLC.
Practice Location Address:

104 W RAILROAD AVE N
CRYSTAL SPRINGS, MS
39059-2154

Practice Phone: 601-415-9533
Practice Fax:

1760887483 — JOSHUA LUCAS MALONEY
Practice Location Address:

102 W RAILROAD AVE N
CRYSTAL SPRINGS, MS
39059-2154

Practice Phone: 601-892-8707
Practice Fax:

1366170185 — TAYLOR W BUNTYN P.T.
Practice Location Address:

102 W. RAILROAD AVE
CRYSTAL SPRINGS, MS
39059-2154

Practice Phone: 601-647-9010
Practice Fax: 601-647-9011

1861385718 — CHADWICK G SILLS JR. DPT
Practice Location Address:

102 W RAILROAD AVE N
CRYSTAL SPRINGS, MS
39059-2154

Practice Phone: 601-647-9010
Practice Fax:

1942890108 — GABRIELLE LORENZO CNP
Practice Location Address:

4729 NW 115TH AVE
CORAL SPRINGS, FL
33076-2154

Practice Phone: 352-278-5833
Practice Fax:

Directions to “ ROBERT BRADLEY WOODS PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.