| Stewart Pkwy Medical & Rehabilitation Center Llc | |
|
5977 Stewart Pkwy, Douglasville, GA 30135-2371 | |
| (678) 591-9925 | |
| Not Available |
| Full Name | Stewart Pkwy Medical & Rehabilitation Center Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5977 Stewart Pkwy, Douglasville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639415706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Eric J Ziegler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528108388 PECOS PAC ID: 1951468214 Enrollment ID: I20090507000558 |
| Provider Name | Victoria H Thedford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730235771 PECOS PAC ID: 0749339745 Enrollment ID: I20090521000578 |
| Provider Name | Scott A Boschetto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104140482 PECOS PAC ID: 1557532876 Enrollment ID: I20110919000220 |
| Provider Name | Dingane Baruti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215945969 PECOS PAC ID: 4486826286 Enrollment ID: I20111019000841 |
| Mailing Address | Practice Location Address |
|---|---|
| Stewart Pkwy Medical & Rehabilitation Center Llc Po Box 7204, Douglasville, GA 30154-0037 Ph: () - | Stewart Pkwy Medical & Rehabilitation Center Llc 5977 Stewart Pkwy, Douglasville, GA 30135-2371 Ph: (678) 591-9925 |
Di Luo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8509 Hospital Dr, Douglasville, GA 30134 Phone: 678-431-0628 | |
Sandra E. Harbin, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6001 Professional Pkwy, Suite 1040, Douglasville, GA 30134 Phone: 770-489-3513 Fax: 678-715-5320 | |
Jessica Mashaun Bivins, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9390 The Landing Dr, Douglasville, GA 30135 Phone: 770-850-1692 | |
Lindsey Marie Krempa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2562 Fairburn Rd, Douglasville, GA 30135 Phone: 770-577-0399 | |
Jovanna Archibald, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6002 Professional Pkwy Ste 140, Douglasville, GA 30134 Phone: 850-512-0046 | |
Michael J Mcgowen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3614 Highway 5, Douglasville, GA 30135 Phone: 770-489-9332 | |
Matthew Johnson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2750 Chapel Hill Rd Ste 1200, Douglasville, GA 30135 Phone: 678-981-6290 |