| Alexandra Ruello, PT, DPT | |
|
3333 E Cherokee Dr, Canton, GA 30115-9229 | |
| (919) 424-5080 | |
| Not Available |
| Full Name | Alexandra Ruello |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3333 E Cherokee Dr, Canton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184474439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT015307 (Georgia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Ruello, PT, DPT 5635 Castle Ct, Cumming, GA 30040-5279 Ph: () - | Alexandra Ruello, PT, DPT 3333 E Cherokee Dr, Canton, GA 30115-9229 Ph: (919) 424-5080 |
Alison Lynn Olsen, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1453 Riverstone Pkwy Ste 170, Canton, GA 30114 Phone: 770-704-0774 Fax: 770-704-0779 | |
Independent Physical Therapy Of Ga Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3725 Sixes Rd Ste 105, Canton, GA 30114 Phone: 770-213-7257 Fax: 770-213-7268 | |
Ms. Cheryl M Pines, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 Hospital Rd, Canton, GA 30114 Phone: 770-479-5535 Fax: 770-479-8821 | |
Angela Nicole Nix, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 724 Beavers Rd, Canton, GA 30115 Phone: 404-247-0174 | |
Renee R Maddux, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1055 Thomas Rd, Canton, GA 30115 Phone: 678-736-0724 Fax: 678-736-0724 | |
Melody Ann Brown, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 Riverstone Ter, Canton, GA 30114 Phone: 770-479-0472 Fax: 770-479-0472 | |
Hannah Miller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 Northside Cherokee Blvd Ste 190, Canton, GA 30115 Phone: 678-880-6499 |