Mr Peter Austin Chrisco, PT | |
4700 Nelson Brogdon Blvd, Suite 240, Buford, GA 30518-5400 | |
(770) 271-3188 | |
(770) 271-3288 |
Full Name | Mr Peter Austin Chrisco |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 4700 Nelson Brogdon Blvd, Buford, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588632806 | NPI | - | NPPES |
900068033 | Other | IL | TAX-ID# |
K28891 | Other | IL | MEDICARE # |
08220357 | Other | IL | BCBS GRP# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070011972 (Illinois) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | PT010325 (Georgia) | Primary |
Provider Name | Performa Physical Medicine And Wellness |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427778786 PECOS PAC ID: 1456724418 Enrollment ID: O20230222002843 |
Mailing Address | Practice Location Address |
---|---|
Mr Peter Austin Chrisco, PT 3733 Ridge Grove Way, Suwanee, GA 30024-4523 Ph: (812) 431-7083 | Mr Peter Austin Chrisco, PT 4700 Nelson Brogdon Blvd, Suite 240, Buford, GA 30518-5400 Ph: (770) 271-3188 |
Caring By Karen Physical Therapy And Fitness, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3045 Camp Branch Rd, Buford, GA 30519 Phone: 317-418-6655 | |
Isha Patel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3280 Hamilton Mill Rd Unit 109, Buford, GA 30519 Phone: 860-329-5079 | |
Mrs. Karen Roberts Saturday, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3045 Camp Branch Rd, Buford, GA 30519 Phone: 317-418-6655 | |
Donald Mercado, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4510 Nelson Brogdon Blvd, Buford, GA 30518 Phone: 770-945-1045 | |
Erin Farmer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2800 Buford Dr Ste 315, Buford, GA 30519 Phone: 678-450-9933 | |
Mathew Peace, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3919 Carter Rd # A, Buford, GA 30518 Phone: 470-589-1058 Fax: 470-589-1642 | |
Kristen Moreland Finlay, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4450 Old Hamilton Mill Rd, Buford, GA 30518 Phone: 770-299-0301 |