| Tony A Roberts, PT, DPT | |
|
4959 Bill Gardner Pkwy Ste 109, Locust Grove, GA 30248-2915 | |
| (770) 914-9285 | |
| (770) 914-5668 |
| Full Name | Tony A Roberts |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4959 Bill Gardner Pkwy Ste 109, Locust Grove, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285090548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT30071 (Florida) | Secondary |
| 225100000X | Physical Therapist | PT014557 (Georgia) | Primary |
| Provider Name | Independent Physical Therapy Of Georgia Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
| Provider Name | Benchmark Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
| Provider Name | Drayer Physical Therapy Georgia, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962830406 PECOS PAC ID: 4284863317 Enrollment ID: O20140212000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Tony A Roberts, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Tony A Roberts, PT, DPT 4959 Bill Gardner Pkwy Ste 109, Locust Grove, GA 30248-2915 Ph: (770) 914-9285 |
Janice Dk Ilori, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1225 Mcallistar Dr, Locust Grove, GA 30248 Phone: 678-432-2044 | |
Abilityone Rehab Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 Mcallistar Dr, Locust Grove, GA 30248 Phone: 678-432-2044 | |
Jeffrey Blake Pace, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4959 Bill Gardner Pkwy Ste 109, Locust Grove, GA 30248 Phone: 770-914-9285 | |
Ms. Monica Mone' Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4877 Bill Gardner Pkwy, Locust Grove, GA 30248 Phone: 404-367-2097 Fax: 678-304-1396 | |
Deitra Yvette Wright, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4959 Bill Gardner Pkwy, Ste 109, Locust Grove, GA 30248 Phone: 770-914-9285 Fax: 770-914-5668 | |
R. Jason Kent Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4861 Bill Gardner Pkwy, Locust Grove, GA 30248 Phone: 470-885-0880 Fax: 470-885-0881 |