Matthew Todd Kellum, DPT | |
1687 Center Point Pkwy Ste 101, Center Point, AL 35215 | |
(205) 730-5005 | |
(205) 725-6595 |
Full Name | Matthew Todd Kellum |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1687 Center Point Pkwy Ste 101, Center Point, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669744454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH6949 (Alabama) | Primary |
Provider Name | Ati Holdings Of Alabama Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1063952646 PECOS PAC ID: 2769756436 Enrollment ID: O20170919001462 |
Mailing Address | Practice Location Address |
---|---|
Matthew Todd Kellum, DPT 251 Johnston St Se, Decatur, AL 35601-2515 Ph: (256) 350-1764 | Matthew Todd Kellum, DPT 1687 Center Point Pkwy Ste 101, Center Point, AL 35215 Ph: (205) 730-5005 |
Jaya Papa Lakshmi Nemmadi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Old Springville Rd, Center Point, AL 35215 Phone: 800-854-4589 Fax: 205-520-0455 | |
Miss Mrudula Singhal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Old Springville Rd, Center Point, AL 35215 Phone: 312-813-7433 | |
Fiona Dolan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Old Springville Rd, Center Point, AL 35215 Phone: 800-854-4589 | |
Maurice Brathwaite, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Old Springville Rd, Center Point, AL 35215 Phone: 800-854-4589 | |
Ms. Josafeena Lagman Dequina, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Old Springville Rd, Suite 104, Center Point, AL 35215 Phone: 618-910-9010 Fax: 205-520-0455 | |
Melissa A Rahmsdorf, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Old Springville Rd, Center Point, AL 35215 Phone: 800-854-4589 | |
Deepak Aggarwal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Old Springville Rd, Center Point, AL 35215 Phone: 800-854-4589 Fax: 205-520-0455 |