Kinley Thomas, PT | |
601 Professional Dr # A, Suite 130, Lawrenceville, GA 30045-7698 | |
(770) 513-0839 | |
Not Available |
Full Name | Kinley Thomas |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 601 Professional Dr # A, Lawrenceville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588743892 | NPI | - | NPPES |
PT007980 | Other | GA | STATE LISC NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT007980 (Georgia) | Primary |
Provider Name | Aegis Group Practice Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881142750 PECOS PAC ID: 5193036432 Enrollment ID: O20150916001644 |
Mailing Address | Practice Location Address |
---|---|
Kinley Thomas, PT Po Box 518, Jonesboro, GA 30237-0518 Ph: (770) 631-8277 | Kinley Thomas, PT 601 Professional Dr # A, Suite 130, Lawrenceville, GA 30045-7698 Ph: (770) 513-0839 |
Mrs. Julie G Cleveland, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882 | |
Dr. Brian Joseph Maloney, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 595 Hurricane Shoals Rd Nw, Lawrenceville, GA 30046 Phone: 678-205-5420 | |
Zachary Hollis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr Ste 370, Lawrenceville, GA 30046 Phone: 678-205-5420 | |
Sidney Otiwu, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr Ste 370, Lawrenceville, GA 30046 Phone: 678-205-5420 Fax: 678-205-5462 | |
Deborah Cobb, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601-a Professional Drive, Suite 130, Lawrenceville, GA 30045 Phone: 770-813-0839 | |
Mrs. Erinn Schleicher Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043 Phone: 770-995-2379 Fax: 770-995-2385 | |
R2t2 Therapy Incorporated Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1371 River Station Dr, Lawrenceville, GA 30045 Phone: 770-237-9591 |