| Ciara Grace Maderazo Tan, | |
|
2050 Scenic Hwy N Ste A, Snellville, GA 30078-2688 | |
| (678) 344-7197 | |
| (678) 344-7199 |
| Full Name | Ciara Grace Maderazo Tan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2050 Scenic Hwy N Ste A, Snellville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528782158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 011731 (Connecticut) | Secondary |
| 225100000X | Physical Therapist | PT016488 (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 |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20111018000281 |
| Provider Name | Drayer Physical Therapy Georgia, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962830406 PECOS PAC ID: 4284863317 Enrollment ID: O20140212000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Ciara Grace Maderazo Tan, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283 | Ciara Grace Maderazo Tan, 2050 Scenic Hwy N Ste A, Snellville, GA 30078-2688 Ph: (678) 344-7197 |
Drayer Physical Therapy Institute Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1553 Janmar Rd, Suite B, Snellville, GA 30078 Phone: 678-987-0250 Fax: 678-987-0217 | |
Dr. Fatima A Charakla, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1600 Medical Way Ste 150, Snellville, GA 30078 Phone: 770-978-5328 Fax: 770-979-7312 | |
Candace C Marshall, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 Wisteria Dr, Suite A, Snellville, GA 30078 Phone: 770-982-0102 Fax: 770-982-0130 | |
Spencer Baron, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3991 Highway 78 W Ste 200, Snellville, GA 30039 Phone: 470-482-6933 Fax: 470-482-6940 | |
Mrs. Shirley Agapito Simms, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2971 Overwood Ln, Snellville, GA 30078 Phone: 212-365-4237 Fax: 718-365-3749 | |
Gabriel Warner, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2400 Wisteria Dr Ste A, Snellville, GA 30078 Phone: 770-982-0102 | |
Ms. Rose Mary Tuggle, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2820 Main St W Ste B, Snellville, GA 30078 Phone: 470-719-1800 Fax: 470-719-1788 |