Kenyata B Holton, DPT in Conyers, GA - Medicare Physical Therapist Provider

Kenyata B Holton, DPT is a medicare enrolled "Physical Therapist" provider in Conyers, Georgia. Her current practice location is 1157b West Ave Sw, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 922-2420.

Kenyata B Holton is licensed to practice in Georgia (license number PT016871) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003693474.

Contact Information

	Kenyata B Holton, DPT
	1157b West Ave Sw, Conyers, GA 30012-5280
	(770) 922-2420
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenyata B Holton
Gender	Female
Speciality	Physical Therapist
Location	1157b West Ave Sw, Conyers, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003693474
Provider Enumeration Date: 09/11/2023
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 4880048297
Enrollment ID: I20231003002302

Medical Identifiers

Medical identifiers for Kenyata B Holton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003693474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT016871 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenyata B Holton allows following entities to bill medicare on her behalf.

Provider Name	Human Performance And Rehabilitation Centers, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104415983 PECOS PAC ID: 3870908130 Enrollment ID: O20210310002659

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenyata B Holton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenyata B Holton, DPT Po Box 8068, Columbus, GA 31908-8068 Ph: (706) 322-7762	Kenyata B Holton, DPT 1157b West Ave Sw, Conyers, GA 30012-5280 Ph: (770) 922-2420

Reviews and Comments

Physical Therapist in Conyers, GA

Stevi Denise Wheeler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1820 Highway 20 Se Ste 146, Conyers, GA 30013 Phone: 770-929-8872 Fax: 770-929-8890
Brian Jung Hyun Shin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1820 Highway 20 Se, Ste 146, Conyers, GA 30013 Phone: 770-929-8872 Fax: 770-929-8890
Dr. Joshua Michael Brown, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 875 Flat Shoals Rd Se, #160, Conyers, GA 30094 Phone: 770-785-7669
Mr. Brian N Conton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 923 Commercial St Ne, Conyers, GA 30012 Phone: 404-427-7413 Fax: 770-760-8870
Kareem David Pierre, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2395 Wall St Se Ste 176, Conyers, GA 30013 Phone: 770-679-1553
Gary E Woodham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1603 Highway 20 Ne, Suite 201, Conyers, GA 30012 Phone: 770-929-8411

Kenyata B Holton, DPT - Medicare Physical Therapist in Conyers, GA