| Dr Jacob Reynolds, PT, DPT | |
|
1695 Marietta Blvd Nw, Atlanta, GA 30318-3644 | |
| (404) 382-8702 | |
| Not Available |
| Full Name | Dr Jacob Reynolds |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1695 Marietta Blvd Nw, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205380342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | PT012532 (Georgia) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | PT012532 (Georgia) | Primary |
| Provider Name | Westside Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1669862769 PECOS PAC ID: 6507185212 Enrollment ID: O20150430002436 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Reynolds, PT, DPT 1695 Marietta Boulevard Nw, Atlanta, GA 30318 Ph: (404) 382-8702 | Dr Jacob Reynolds, PT, DPT 1695 Marietta Blvd Nw, Atlanta, GA 30318-3644 Ph: (404) 382-8702 |
Mrs. Joel Adrianna Bruno, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 390 Stovall St Se, Apt 3109, Atlanta, GA 30316 Phone: 404-719-2515 | |
Erin G Kent, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1867 Harvard Ave, Atlanta, GA 30337 Phone: 404-835-4321 Fax: 404-835-4320 | |
Taylor Morris Gayle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 860 Johnson Fy Rd Ne, Ste 100, Atlanta, GA 30342 Phone: 404-252-5545 Fax: 404-252-5511 | |
Elizabeth Ashley Smith, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 Peachtree St Ne Ste E2, Atlanta, GA 30308 Phone: 404-254-3319 | |
Spencer Edward Kasmere, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Garrett St Se Ste J, Atlanta, GA 30316 Phone: 404-624-5407 Fax: 404-624-5409 | |
Natalie Muniz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3280 Howell Mill Rd Nw Ste 303, Atlanta, GA 30327 Phone: 470-300-6030 Fax: 470-300-6031 | |
Ogoluwakitan Cal Lawanson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3200 Downwood Cir Nw Ste 700, Atlanta, GA 30327 Phone: 404-355-0743 |