Fabian Azofeifa, PT | |
3206 Peach Orchard Rd, Augusta, GA 30906-3540 | |
(706) 798-9323 | |
(706) 772-8873 |
Full Name | Fabian Azofeifa |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 3206 Peach Orchard Rd, Augusta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790399434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT014812 (Georgia) | Secondary |
225100000X | Physical Therapist | 10775 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Raines Physical Therapy And Performance | 5496153009 | 5 |
Provider Name | Raines Physical Therapy And Performance |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1043894843 PECOS PAC ID: 5496153009 Enrollment ID: O20211013000308 |
Mailing Address | Practice Location Address |
---|---|
Fabian Azofeifa, PT Po Box 5545, Augusta, GA 30916-5545 Ph: (803) 349-4118 | Fabian Azofeifa, PT 3206 Peach Orchard Rd, Augusta, GA 30906-3540 Ph: (706) 798-9323 |
Debra Beazley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1930 Highland Ave Ste A, Augusta, GA 30904 Phone: 706-481-9105 | |
Mrs. Stacy Leigh Rush, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3650 J Dewey Gray Cir, Augusta, GA 30909 Phone: 706-863-9797 Fax: 706-860-7686 | |
Mrs. Melissa Sue Williams, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 950 15th St, Augusta, GA 30901 Phone: 706-733-0188 | |
Bryce Scott Boeke, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 254 Robert C Daniel Jr Pkwy Ste 4b, Augusta, GA 30909 Phone: 706-723-5795 | |
Mrs. Deborah Bradley Mote, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2482 | |
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 Broad St, Augusta, GA 30901 Phone: 479-201-2000 | |
Mrs. Sarah Marsh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 724 Greene St, Augusta, GA 30901 Phone: 706-869-4501 |