| Ndt Programs | |
|
817 Crawford Ave, Augusta, GA 30904-3772 | |
| (706) 736-1255 | |
| (706) 736-1258 |
| Full Name | Ndt Programs |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 817 Crawford Ave, Augusta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417924036 | NPI | - | NPPES |
| 300024827D | Medicaid | GA | |
| GP1346 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Georgia) | Secondary |
| 225X00000X | Occupational Therapist | (Georgia) | Primary |
| Provider Name | Judith C Bierman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558325472 PECOS PAC ID: 7416113667 Enrollment ID: I20120731000232 |
| Provider Name | Gina M White |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851729842 PECOS PAC ID: 2668608548 Enrollment ID: I20131125000300 |
| Provider Name | Mary E Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003150764 PECOS PAC ID: 4880915248 Enrollment ID: I20150610001932 |
| Provider Name | Stephanie Nicole Habryl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447863097 PECOS PAC ID: 6406275288 Enrollment ID: I20200928002479 |
| Provider Name | Samantha T Carlson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316558786 PECOS PAC ID: 4981023611 Enrollment ID: I20200930001560 |
| Provider Name | Ashton N Deremigio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457928715 PECOS PAC ID: 5698177426 Enrollment ID: I20210715002066 |
| Provider Name | Kathryn Anniemarie Ceyssens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891461497 PECOS PAC ID: 9931505542 Enrollment ID: I20210908000059 |
| Provider Name | Ryan William James |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700511540 PECOS PAC ID: 3375925472 Enrollment ID: I20220805002901 |
| Provider Name | Taylor Marie Forney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194403444 PECOS PAC ID: 8426412479 Enrollment ID: I20230911001023 |
| Mailing Address | Practice Location Address |
|---|---|
| Ndt Programs 817 Crawford Ave, Augusta, GA 30904-3772 Ph: (706) 736-1255 | Ndt Programs 817 Crawford Ave, Augusta, GA 30904-3772 Ph: (706) 736-1255 |
Amanda Petro, MSR, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Mrs. Mary Elizabeth Miller Willson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Mr. Richard Jason Vital, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Mrs. April Neel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Mrs. Stephanie Lynn Cathcart, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 Crawford Ave, Augusta, GA 30904 Phone: 706-736-1255 | |
Tanner Kate Sauls, MHSOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1446 Harper St, Augusta, GA 30912 Phone: 706-721-5437 | |
Kristal F. Wyatt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 Fax: 706-731-7165 |