Clayton O Carroll, PT, DPT, SCS | |
6422 Bells Ferry Rd Unit B124, Woodstock, GA 30189-6114 | |
(770) 372-1211 | |
Not Available |
Full Name | Clayton O Carroll |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 6422 Bells Ferry Rd Unit B124, Woodstock, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114404589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT013679 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcm Rehabilitation Llc | 5294798336 | 47 |
Provider Name | Mcm Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538226840 PECOS PAC ID: 5294798336 Enrollment ID: O20110826000205 |
Provider Name | Georgia Luna Care Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811 |
Mailing Address | Practice Location Address |
---|---|
Clayton O Carroll, PT, DPT, SCS 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Clayton O Carroll, PT, DPT, SCS 6422 Bells Ferry Rd Unit B124, Woodstock, GA 30189-6114 Ph: (770) 372-1211 |
Amy Kafati, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1432 Towne Lake Pkwy, Ste 120, Woodstock, GA 30189 Phone: 678-445-9799 Fax: 678-445-2688 | |
James Peter Kwan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Matthew Payom Ayers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Giovani Velez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6236 Holly Springs Pkwy, Ste D8, Woodstock, GA 30188 Phone: 770-800-6770 | |
Scott William Lowe, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Joseph Ronald Gross, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Brittany Poist Kizzire, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 |