Adam Kelly, | |
254 Robert C Daniel Jr Pkwy Ste 4b, Augusta, GA 30909-0812 | |
(706) 723-5795 | |
(706) 723-5831 |
Full Name | Adam Kelly |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 254 Robert C Daniel Jr Pkwy Ste 4b, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265135586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT008798 (Georgia) | Primary |
Provider Name | Independent Physical Therapy Of Georgia Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
Mailing Address | Practice Location Address |
---|---|
Adam Kelly, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283 | Adam Kelly, 254 Robert C Daniel Jr Pkwy Ste 4b, Augusta, GA 30909-0812 Ph: (706) 723-5795 |
Amanda Petro, MSR, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Mrs. Mary Elizabeth Miller Willson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Mr. Richard Jason Vital, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Mrs. April Neel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Mrs. Stephanie Lynn Cathcart, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 Crawford Ave, Augusta, GA 30904 Phone: 706-736-1255 | |
Tanner Kate Sauls, MHSOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1446 Harper St, Augusta, GA 30912 Phone: 706-721-5437 | |
Kristal F. Wyatt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 Fax: 706-731-7165 |