| Magnolia Medical Group Inc | |
|
800 Pelham Rd, Third Floor - Physical Therapy Department, Greenville, SC 29615-3300 | |
| (864) 752-3357 | |
| (678) 840-2112 |
| Full Name | Magnolia Medical Group Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 800 Pelham Rd, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386629558 | NPI | - | NPPES |
| GP3940 | Medicaid | SC |
| Provider Name | Victor M Cortina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578596037 PECOS PAC ID: 8921051087 Enrollment ID: I20050301000386 |
| Provider Name | Maureen M Perricone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639315898 PECOS PAC ID: 6608134101 Enrollment ID: I20171211000124 |
| Provider Name | Lynnette E Taylor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821492026 PECOS PAC ID: 3870914336 Enrollment ID: I20200609001848 |
| Provider Name | Lindsay B Monroe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750870929 PECOS PAC ID: 1153744826 Enrollment ID: I20200714001489 |
| Provider Name | Melanie Vaughn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598370058 PECOS PAC ID: 8224448857 Enrollment ID: I20201110000677 |
| Provider Name | Christopher S Rydzewski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619265345 PECOS PAC ID: 6709107824 Enrollment ID: I20201207002702 |
| Provider Name | Stephanie Leigh Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821514860 PECOS PAC ID: 1951660364 Enrollment ID: I20210106000933 |
| Provider Name | Emilie M. N. Schmidt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285211698 PECOS PAC ID: 9133538614 Enrollment ID: I20211011001599 |
| Provider Name | Rachel E Moreno |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841804499 PECOS PAC ID: 2163819616 Enrollment ID: I20220502000414 |
| Provider Name | Jacob W Campbell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821719873 PECOS PAC ID: 3779956974 Enrollment ID: I20230309001738 |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Medical Group Inc Po Box 25306, Greenville, SC 29616-0306 Ph: (864) 752-3357 | Magnolia Medical Group Inc 800 Pelham Rd, Third Floor - Physical Therapy Department, Greenville, SC 29615-3300 Ph: (864) 752-3357 |
Caitlyn Esther Soltes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1344 Fax: 864-331-1446 | |
Stephen Craig Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Doctors Dr, Greenville, SC 29605 Phone: 864-797-7320 | |
Charlotte Bocchino, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Patewood Dr, Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Madalyn Patricia Cregg, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Emily Mae Harrison, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1322 E Washington St Ste B1, Greenville, SC 29607 Phone: 642-729-4081 | |
Katerine Maria Gonzalez Gonzalez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1904 Roper Mountain Rd, Greenville, SC 29615 Phone: 864-609-4006 | |
Sara Elizabeth Martin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 N Main St, Ste 99, Greenville, SC 29601 Phone: 864-528-5728 |