| Amanda Elizabeth Tyson Broadwater, | |
|
3500 Lenox Rd Ne Ste 1500, Atlanta, GA 30326-4231 | |
| (877) 407-3422 | |
| Not Available |
| Full Name | Amanda Elizabeth Tyson Broadwater |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3500 Lenox Rd Ne Ste 1500, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538831599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT003732 (Georgia) | Primary |
| Provider Name | Au Medical Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437135902 PECOS PAC ID: 7618866229 Enrollment ID: O20040312000081 |
| Provider Name | Fox Rehabilitation Ga, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023544624 PECOS PAC ID: 6800162298 Enrollment ID: O20171031001120 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Elizabeth Tyson Broadwater, 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 Ph: (877) 407-3422 | Amanda Elizabeth Tyson Broadwater, 3500 Lenox Rd Ne Ste 1500, Atlanta, GA 30326-4231 Ph: (877) 407-3422 |
Mrs. Joel Adrianna Bruno, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 390 Stovall St Se, Apt 3109, Atlanta, GA 30316 Phone: 404-719-2515 | |
Erin G Kent, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1867 Harvard Ave, Atlanta, GA 30337 Phone: 404-835-4321 Fax: 404-835-4320 | |
Taylor Morris Gayle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 860 Johnson Fy Rd Ne, Ste 100, Atlanta, GA 30342 Phone: 404-252-5545 Fax: 404-252-5511 | |
Elizabeth Ashley Smith, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 Peachtree St Ne Ste E2, Atlanta, GA 30308 Phone: 404-254-3319 | |
Spencer Edward Kasmere, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Garrett St Se Ste J, Atlanta, GA 30316 Phone: 404-624-5407 Fax: 404-624-5409 | |
Natalie Muniz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3280 Howell Mill Rd Nw Ste 303, Atlanta, GA 30327 Phone: 470-300-6030 Fax: 470-300-6031 | |
Ogoluwakitan Cal Lawanson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3200 Downwood Cir Nw Ste 700, Atlanta, GA 30327 Phone: 404-355-0743 |