Amanda Clementz, PT | |
7938 Ga Highway 21 Ste 300, Port Wentworth, GA 31407-9808 | |
(912) 965-0601 | |
Not Available |
Full Name | Amanda Clementz |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 7938 Ga Highway 21 Ste 300, Port Wentworth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841475027 | NPI | - | NPPES |
P01141585 | Other | IL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT016003 (Georgia) | Primary |
225100000X | Physical Therapist | 070013744 (Illinois) | Secondary |
Provider Name | Independent Physical Therapy Of Georgia Llc |
---|---|
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 |
Mailing Address | Practice Location Address |
---|---|
Amanda Clementz, PT 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915 Ph: (423) 238-8923 | Amanda Clementz, PT 7938 Ga Highway 21 Ste 300, Port Wentworth, GA 31407-9808 Ph: (912) 965-0601 |
Emily Cordray, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7938 Ga Highway 21 Ste 300, Port Wentworth, GA 31407 Phone: 912-965-0601 | |
Benchmark Pt - Port Wentworth Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7938 Ga Highway 21, Ste 300, Port Wentworth, GA 31407 Phone: 912-965-0601 Fax: 912-965-0603 | |
Kylah Maxwell-brown, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7938 Ga Highway 21 Ste 300, Port Wentworth, GA 31407 Phone: 912-965-0601 |