MEDICARE: MARY POPE GRATTAN PT, PHD

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	174400000X	Specialist	PT 19825	FL

General Provider Information

NPI Number	:	1548304819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY POPE GRATTAN PT, PHD

Provider Business Mailing Address
First Line	:	3482 HYDE PARK WAY
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-8206
Country	:	US
Telephone Number	:	850-339-7709
Fax Number	:	850-561-2457

Provider Business Practice Location Address
First Line	:	3482 HYDE PARK WAY
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-8206
Country	:	US
Telephone Number	:	850-339-7709
Fax Number	:	850-561-2457

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

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1093662413 — LILY-ROSE FOUNDATION
Practice Location Address:

3482 HYDE PARK WAY
TALLAHASSEE, FL
32309-8206

Practice Phone: 850-345-6666
Practice Fax:

1326994377 — CAREMED CLINIC LLC
Practice Location Address:

2907 KERRY FOREST PKWY
TALLAHASSEE, FL
32309-6825

Practice Phone: 850-900-1900
Practice Fax: 850-900-2900

1295540912 — GENTLE & CARING IN-HOME CARE LLC
Practice Location Address:

8813 JOHNNIES CT
TALLAHASSEE, FL
32309-9066

Practice Phone: 448-213-5778
Practice Fax:

1235848391 — KIMBERLY FIENBERG-LANDRETH CRC, NCC, RMHCI
Practice Location Address:

13305 MAHAN DR
TALLAHASSEE, FL
32309-8698

Practice Phone: 850-893-8800
Practice Fax:

1205782166 — SHAMISO WELLNESS INSTITUTE
Practice Location Address:

1607 VILLAGE SQUARE BLVD STE 5
TALLAHASSEE, FL
32309-2772

Practice Phone: 850-294-6906
Practice Fax: 850-807-5214

1902809569 — MR. CARL F. MAHLER M.S.
Practice Location Address:

9601 MICCOSUKEE RD , LOT 63
TALLAHASSEE, FL
32309-9665

Practice Phone: 850-877-0318
Practice Fax:

Directions to “ MARY POPE GRATTAN PT, PHD” 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.