| Dr Kyle Allan Forman, DPT | |
|
2200 Crow Ln, Myrtle Beach, SC 29577-1663 | |
| (843) 848-5220 | |
| Not Available |
| Full Name | Dr Kyle Allan Forman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2200 Crow Ln, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912760463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12210 (South Carolina) | Primary |
| Provider Name | Georgetown Physician Associates, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235475930 PECOS PAC ID: 2365697398 Enrollment ID: O20130225000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle Allan Forman, DPT 618 Still Wood Trl, Fountain Inn, SC 29644-9276 Ph: (407) 462-7610 | Dr Kyle Allan Forman, DPT 2200 Crow Ln, Myrtle Beach, SC 29577-1663 Ph: (843) 848-5220 |
Jason M Anders, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 201 Brightwater Dr, Myrtle Beach, SC 29579 Phone: 304-236-4131 Fax: 304-236-4131 | |
Gavin Stepansky, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4871 Socastee Blvd Unit E, Myrtle Beach, SC 29588 Phone: 843-293-5610 | |
Karyn Longo Congdon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3515 Caduceus Dr, Ste A, Myrtle Beach, SC 29588 Phone: 843-293-7085 | |
Professional Rehabiliation Services Physical Therapist Medicare: Medicare Enrolled Practice Location: 2140 Oakheart Rd, Myrtle Beach, SC 29579 Phone: 843-282-0440 Fax: 843-353-2060 | |
Mr. Thomas A. Palya, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4012 Postal Way, Suite C, Myrtle Beach, SC 29579 Phone: 843-903-4940 | |
Dr. Tamala Rose Marcin, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 716 Morning Star Ct, Myrtle Beach, SC 29579 Phone: 317-430-6283 Fax: 843-236-9544 | |
Benchmark Healthcare Service Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7955 N Kings Hwy Ste 330, Myrtle Beach, SC 29572 Phone: 843-945-1815 Fax: 843-945-2343 |