Micah Mespelt, | |
3647 Browns Bridge Rd Ste 105b, Cumming, GA 30028-4188 | |
(678) 208-3188 | |
(678) 543-0450 |
Full Name | Micah Mespelt |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3647 Browns Bridge Rd Ste 105b, Cumming, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316668650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Georgia) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Greenville Proaxis Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
Mailing Address | Practice Location Address |
---|---|
Micah Mespelt, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Micah Mespelt, 3647 Browns Bridge Rd Ste 105b, Cumming, GA 30028-4188 Ph: (678) 208-3188 |
Laura J Sparks, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mountain View Dr, Suite 100, Cumming, GA 30040 Phone: 770-889-2163 | |
Marcus Belizaire, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4640 Martin Road, Cumming, GA 30041 Phone: 678-679-1261 Fax: 678-250-9010 | |
Independent Physical Therapy Of Ga, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5310 Matt Hwy Ste 105, Cumming, GA 30028 Phone: 470-239-4255 | |
Mackenzie L Miller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1715 Friendship Cir Ste 300, Cumming, GA 30028 Phone: 770-240-1063 Fax: 470-745-6035 | |
Janice Allman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mountain View Dr, Suite 100, Cumming, GA 30040 Phone: 770-889-2163 | |
Tina Mcginley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3950 Overlake Dr, Cumming, GA 30041 Phone: 770-363-5600 | |
Joel Nabors, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Peachtree Parkway, Suite 101, Cumming, GA 30041 Phone: 678-455-5600 Fax: 678-455-4554 |