Dr Dale Michael Yake, PT, DPT | |
3950 Cobb Pkwy Nw, Suite 103, Acworth, GA 30101-9532 | |
(770) 917-0924 | |
(770) 917-0926 |
Full Name | Dr Dale Michael Yake |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3950 Cobb Pkwy Nw, Acworth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174573950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH1858 (Alabama) | Secondary |
225100000X | Physical Therapist | PT006616 (Georgia) | Primary |
Provider Name | Pt Solutions Of Acworth Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518435189 PECOS PAC ID: 0042291817 Enrollment ID: O20040629000794 |
Mailing Address | Practice Location Address |
---|---|
Dr Dale Michael Yake, PT, DPT Po Box 242278, Montgomery, AL 36124-2278 Ph: (334) 396-2110 | Dr Dale Michael Yake, PT, DPT 3950 Cobb Pkwy Nw, Suite 103, Acworth, GA 30101-9532 Ph: (770) 917-0924 |
Justin Desandre, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924 | |
Isabel Fabacher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Stanton Place Ln, Acworth, GA 30101 Phone: 248-982-5513 | |
Mrs. Karissa Tippens, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Suite 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318 | |
Jonathan Shaw, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3950 Cobb Pkwy Nw, Suite 703, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 | |
Jenna Dreyer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 | |
Mr. Justin Taylor Gorrell, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Ste 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318 | |
Miss Erin Christine Golden, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw, Suite 1001, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 |