Lake Oconee Rehabilitation And Performance Center | |
415 Town Park Blvd, Suite 201, Evans, GA 30809 | |
(706) 868-1707 | |
(706) 868-1351 |
Full Name | Lake Oconee Rehabilitation And Performance Center |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 415 Town Park Blvd, Evans, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093715773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Georgia) | Primary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Provider Name | Allyson C Wood |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225004567 PECOS PAC ID: 8527037340 Enrollment ID: I20040929000163 |
Provider Name | Christopher Alligood |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588630065 PECOS PAC ID: 3870529647 Enrollment ID: I20050713000161 |
Provider Name | Jason Lott |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255387304 PECOS PAC ID: 9830113604 Enrollment ID: I20060120000547 |
Provider Name | William R Collins |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093752792 PECOS PAC ID: 6204850902 Enrollment ID: I20060120000592 |
Provider Name | Kristy E Kertscher |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366582298 PECOS PAC ID: 5193820637 Enrollment ID: I20070412000090 |
Provider Name | Brian E Prell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164501367 PECOS PAC ID: 0143384636 Enrollment ID: I20090128000260 |
Provider Name | Janet Duggan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194022848 PECOS PAC ID: 8426232034 Enrollment ID: I20110921000343 |
Provider Name | Dennis D Wood |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124095005 PECOS PAC ID: 3678521416 Enrollment ID: I20111229000492 |
Provider Name | Elizabeth G Overstreet |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801153697 PECOS PAC ID: 6709031065 Enrollment ID: I20130313000133 |
Provider Name | Lydia A Veihman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669858668 PECOS PAC ID: 4587974514 Enrollment ID: I20151103003126 |
Provider Name | Takiya Grant |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912451584 PECOS PAC ID: 8426343518 Enrollment ID: I20160829001778 |
Provider Name | Laura James |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790209799 PECOS PAC ID: 6204100720 Enrollment ID: I20170922000495 |
Provider Name | Kacey W Young |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629277405 PECOS PAC ID: 4880942598 Enrollment ID: I20180810002764 |
Provider Name | Lori L Moore |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982176509 PECOS PAC ID: 1658610027 Enrollment ID: I20190301000119 |
Provider Name | Thomas Mcleod |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497127633 PECOS PAC ID: 1052652906 Enrollment ID: I20190403000832 |
Provider Name | Brian Smith |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649679937 PECOS PAC ID: 2163754573 Enrollment ID: I20191104001217 |
Provider Name | Elizabeth Hamilton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376160150 PECOS PAC ID: 0941623979 Enrollment ID: I20200709002827 |
Provider Name | Caitlyn Creswell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326650839 PECOS PAC ID: 2264859016 Enrollment ID: I20200825003767 |
Provider Name | Jaison Majzer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699380493 PECOS PAC ID: 4880004100 Enrollment ID: I20201027002929 |
Provider Name | Tyler Bentrup |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316540305 PECOS PAC ID: 6204249378 Enrollment ID: I20210108002527 |
Provider Name | David Farr |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477137982 PECOS PAC ID: 1456751924 Enrollment ID: I20210621002801 |
Provider Name | Aniefiok Isen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578725933 PECOS PAC ID: 1557437464 Enrollment ID: I20220303001960 |
Provider Name | Hunter Reid Slack |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346994779 PECOS PAC ID: 8123413135 Enrollment ID: I20220309001921 |
Provider Name | Lori Crenshaw Vaughn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649402686 PECOS PAC ID: 9739563875 Enrollment ID: I20220908001926 |
Provider Name | Michael Moreland |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225759244 PECOS PAC ID: 2163892589 Enrollment ID: I20221229002316 |
Provider Name | John Alan Willoughby |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447956388 PECOS PAC ID: 5991177487 Enrollment ID: I20230209001601 |
Provider Name | Larry Youngblood |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306365895 PECOS PAC ID: 9537525175 Enrollment ID: I20230524000047 |
Provider Name | Cameron Johnson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235823212 PECOS PAC ID: 3476910126 Enrollment ID: I20230612001011 |
Provider Name | Abigail Gilliam |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740963453 PECOS PAC ID: 8921452889 Enrollment ID: I20230926002326 |
Provider Name | Micah Bull |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043099880 PECOS PAC ID: 9739530965 Enrollment ID: I20240111002800 |
Mailing Address | Practice Location Address |
---|---|
Lake Oconee Rehabilitation And Performance Center 415 Town Park Blvd., Evans, GA 30809 Ph: (706) 868-1707 | Lake Oconee Rehabilitation And Performance Center 415 Town Park Blvd, Suite 201, Evans, GA 30809 Ph: (706) 868-1707 |
Dr. Kevin Scott Soto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Town Park Blvd Ste 100, Evans, GA 30809 Phone: 706-854-9850 | |
Mrs. Amy Boozer Moyer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4405 Evans To Locks Rd, Suite C, Evans, GA 30809 Phone: 706-854-1598 | |
Kirsten Foley, P.T., C.L.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 138 Knob Hill Dr, Evans, GA 30809 Phone: 423-202-0246 | |
Marin Mills, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Town Park Blvd, Evans, GA 30809 Phone: 706-854-9850 | |
Mr. William R Collins, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7013 Evans Town Center Blvd, Suite 201, Evans, GA 30809 Phone: 706-868-1707 Fax: 706-868-1351 | |
Emily Kale, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 536 Grand Slam Dr Ste D, Evans, GA 30809 Phone: 706-854-8434 |