| Nikita Gautam Shah, | |
|
4600 W Village Pl Se Ste 4007, Smyrna, GA 30080-9213 | |
| (770) 438-2015 | |
| Not Available |
| Full Name | Nikita Gautam Shah |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4600 W Village Pl Se Ste 4007, Smyrna, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093059677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 034601 (New York) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Independent Physical Therapy Of Georgia Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20111018000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikita Gautam Shah, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283 | Nikita Gautam Shah, 4600 W Village Pl Se Ste 4007, Smyrna, GA 30080-9213 Ph: (770) 438-2015 |
Krysten Kelly Hill, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 Phone: 678-293-0250 Fax: 678-681-9067 | |
Dr. Shahzad Ali, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4579 S Cobb Dr Se Ste 100, Smyrna, GA 30080 Phone: 770-436-3665 Fax: 770-436-3886 | |
Grace Harvey, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1690 Rose Moss Ct Se, Smyrna, GA 30082 Phone: 301-275-4057 | |
Allison Marie O'halloran, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4600 W Village Pl Se Ste 4007, Smyrna, GA 30080 Phone: 770-438-2015 Fax: 770-438-8536 | |
Eve Marie Scott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4579 S Cobb Drive, Se, Suite 100, Smyrna, GA 30080 Phone: 770-436-3665 | |
Elizabeth Morgan Niesman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 517 Twilley Ridge Rd Sw, Smyrna, GA 30082 Phone: 972-835-4757 | |
Alyssa Marie Martinek, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4600 W Village Pl Se Ste 4007, Smyrna, GA 30080 Phone: 770-438-2015 Fax: 770-438-8536 |