Nicole Gibbs, | |
1021 Parkway Blvd Ste 101, Athens, GA 30606-6189 | |
(706) 352-2448 | |
Not Available |
Full Name | Nicole Gibbs |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1021 Parkway Blvd Ste 101, Athens, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194408815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | 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 |
---|---|
Nicole Gibbs, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () - | Nicole Gibbs, 1021 Parkway Blvd Ste 101, Athens, GA 30606-6189 Ph: (706) 352-2448 |
Jeremy Evan Cryder, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1765 Old West Broad St, Athens, GA 30606 Phone: 706-549-1663 Fax: 706-546-8792 | |
Evaline J Trevias, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 Appleby Dr, Athens, GA 30605 Phone: 858-603-5598 | |
Ann Steber, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1765 Old West Broad St, Athens, GA 30606 Phone: 706-549-1663 Fax: 706-546-8792 | |
Mrs. Sara J Shue, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 242 King Ave, Medical Services Building, First Floor, Athens, GA 30606 Phone: 706-475-3511 | |
Divya Hariani, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Meadow Creek Dr, Athens, GA 30605 Phone: 706-546-4933 | |
Ginger Lynn Banner, OTL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1765 Old West Broad St, Athens, GA 30606 Phone: 706-549-1663 Fax: 706-546-8792 | |
Ms. Jennifer N Smith, B.S. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Athens Regional Medical Center, 1199 Prince Ave., Athens, GA 30606 Phone: 706-475-7311 |