| Anthony Joseph Braim, PT, MPT | |
|
1275 Highway 54 W, Ste 200, Fayetteville, GA 30214-4549 | |
| (770) 460-8609 | |
| (770) 460-8629 |
| Full Name | Anthony Joseph Braim |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1275 Highway 54 W, Fayetteville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982838561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01285900 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | PT012303 (Georgia) | Primary |
| 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 |
|---|---|
| Anthony Joseph Braim, PT, MPT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217 | Anthony Joseph Braim, PT, MPT 1275 Highway 54 W, Ste 200, Fayetteville, GA 30214-4549 Ph: (770) 460-8609 |
Mrs. Lisa Lajune Smith, PT, M.ED. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7183 Fax: 770-719-7189 | |
Mr. Ryan Christopher Yolitz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Suite 103 And 308, Fayetteville, GA 30214 Phone: 770-460-1900 Fax: 770-719-1214 | |
Mrs. Harvelyn Duncan Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1250 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7290 | |
Francis O'rourke, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 565 Banks Rd E, Fayetteville, GA 30214 Phone: 770-875-8621 | |
Drayton Thomas Perkins, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1275 Highway 54 W, Ste 200, Fayetteville, GA 30214 Phone: 770-460-8609 Fax: 770-460-8629 | |
Sarah Grace Osborne, OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1275 Highway 54 W Ste 200, Fayetteville, GA 30214 Phone: 770-460-8609 Fax: 770-460-8629 | |
Anne Marie Sheridan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 560 Grady Ave Ste C, Fayetteville, GA 30214 Phone: 770-461-6488 Fax: 770-461-5861 |