| Mary Charlotte Leicht, PT, DPT | |
|
104 Walnut Ln Ste 106, North Augusta, SC 29860-8684 | |
| (803) 599-5990 | |
| (803) 599-7239 |
| Full Name | Mary Charlotte Leicht |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 104 Walnut Ln Ste 106, North Augusta, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093318214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT014874 (Georgia) | Secondary |
| 225100000X | Physical Therapist | 10484 (South Carolina) | Primary |
| Provider Name | Benchmark Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811213341 PECOS PAC ID: 3779726468 Enrollment ID: O20130828000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Charlotte Leicht, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Mary Charlotte Leicht, PT, DPT 104 Walnut Ln Ste 106, North Augusta, SC 29860-8684 Ph: (803) 599-5990 |
Dr. Mary Elizabeth Smith, P.T., D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 212 Spring Oak Ln, North Augusta, SC 29841 Phone: 404-358-7348 | |
Mrs. Amy Krista Anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Austin Graybill Rd, North Augusta, SC 29860 Phone: 803-278-4272 | |
Tuan M Nguyen, P.T., OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 616 Edgefield Rd, Suite 150, North Augusta, SC 29841 Phone: 803-634-6983 Fax: 888-972-1745 | |
Jessica Litavec, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Walnut Ln Ste 106, North Augusta, SC 29860 Phone: 803-599-5990 | |
Sunshine Therapy Associates, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Indian Rock Ct, North Augusta, SC 29841 Phone: 706-825-9338 | |
Rene Boylston, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Austin Graybill Rd, North Augusta, SC 29860 Phone: 803-278-4272 |