Jessie Lee Ralston, DPT | |
212 Retreat Vlg, Saint Simons Island, GA 31522-2403 | |
(912) 638-1444 | |
(912) 638-0077 |
Full Name | Jessie Lee Ralston |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 212 Retreat Vlg, Saint Simons Island, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659002228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | CP017798T (Georgia) | Secondary |
225100000X | Physical Therapist | 6225 (Oklahoma) | Secondary |
225100000X | Physical Therapist | PT40235 (Florida) | Primary |
Provider Name | Redbud Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1710437306 PECOS PAC ID: 4486939949 Enrollment ID: O20170323001896 |
Mailing Address | Practice Location Address |
---|---|
Jessie Lee Ralston, DPT Po Box 949, Rome, GA 30162-0949 Ph: (912) 638-1444 | Jessie Lee Ralston, DPT 212 Retreat Vlg, Saint Simons Island, GA 31522-2403 Ph: (912) 638-1444 |
Cathleen Vines, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 Retreat Vlg, Saint Simons Island, GA 31522 Phone: 912-638-1444 Fax: 912-638-0077 | |
Meghan Goutremout, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 Retreat Vlg, Saint Simons Island, GA 31522 Phone: 912-638-1444 Fax: 912-638-0077 | |
Emilee Pitt, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 Retreat Vlg, Saint Simons Island, GA 31522 Phone: 912-638-1444 Fax: 912-638-0077 | |
Emma Anne Summers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 Retreat Vlg, Saint Simons Island, GA 31522 Phone: 912-638-1444 | |
Jocelyn Francesconi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 Retreat Vlg, Saint Simons Island, GA 31522 Phone: 912-638-1444 Fax: 912-638-0077 | |
Jacqueline Diane Braga, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Renegar Way, Saint Simons Island, GA 31522 Phone: 912-219-2029 | |
Mary R Parker Mpt Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 236 Florida St, Saint Simons Island, GA 31522 Phone: 912-242-3402 Fax: 912-638-2466 |