Aaron Hernandez Mora, | |
11365 Tara Blvd, Hampton, GA 30228-6261 | |
(770) 999-0849 | |
Not Available |
Full Name | Aaron Hernandez Mora |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 11365 Tara Blvd, Hampton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134955685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT017360 (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 |
Provider Name | Benchmark Physical Therapy, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
Provider Name | Agilitas Usa Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20111018000281 |
Mailing Address | Practice Location Address |
---|---|
Aaron Hernandez Mora, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283 | Aaron Hernandez Mora, 11365 Tara Blvd, Hampton, GA 30228-6261 Ph: (770) 999-0849 |
Mrs. Remilekun Susan Durojaiye, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11365 Tara Blvd, Hampton, GA 30228 Phone: 770-999-0849 | |
Kimmarchello Denise Baugh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 508 Glacier Ct, Hampton, GA 30228 Phone: 770-468-1115 | |
Keri Haire, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11365 Tara Blvd, Hampton, GA 30228 Phone: 770-999-0849 | |
Independent Physical Therapy Of Ga, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11365 Tara Blvd, Hampton, GA 30228 Phone: 770-999-0849 Fax: 770-999-9414 | |
Nicole Suzanne Gayle, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11365 Tara Blvd, Hampton, GA 30228 Phone: 770-999-0849 |