| Activekidz And Adult Therapy Services | |
|
1045 Old Mill Trce, Monroe, GA 30656-4379 | |
| (770) 207-6390 | |
| (678) 374-4855 |
| Full Name | Activekidz And Adult Therapy Services |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1045 Old Mill Trce, Monroe, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326120932 | NPI | - | NPPES |
| 0008751002G | Medicaid | GA | |
| 000875102B | Medicaid | GA | |
| 210194080A | Medicaid | GA | |
| 619191397B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5588 (Georgia) | Primary |
| 225100000X | Physical Therapist | 7510 (Georgia) | Secondary |
| 225X00000X | Occupational Therapist | 4397 (Georgia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Activekidz And Adult Therapy Services 1431 Capital Ave Ste 123, Watkinsville, GA 30677-1883 Ph: (770) 207-6390 | Activekidz And Adult Therapy Services 1045 Old Mill Trce, Monroe, GA 30656-4379 Ph: (770) 207-6390 |
Jill Seawright Barrow, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Alcovy Street, Suite 7, Monroe, GA 30655 Phone: 770-207-6624 | |
Thalaline Mayer Clack, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 920 Georgia Highway 138, Monroe, GA 30655 Phone: 812-345-2685 | |
Pamela R. Clack, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 Kings Rdg, Monroe, GA 30655 Phone: 770-207-5788 Fax: 770-207-5708 | |
Kelly M Fitzpatrick, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 W Spring St, Monroe, GA 30655 Phone: 770-207-6624 Fax: 770-207-6631 | |
Corey Williman Mcteer, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 2120 W Spring St, Ste 1500, Monroe, GA 30655 Phone: 678-712-3686 Fax: 678-712-3689 | |
Ashley Calhoun, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3560 Carl Moon Rd Nw, Monroe, GA 30656 Phone: 678-614-2108 | |
Rebecca Courtney Hampton, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2120 W Spring St Ste 1600, Monroe, GA 30655 Phone: 678-712-3686 Fax: 678-712-3689 |