| North Valdosta Therapy Services Inc | |
|
4611 Tillman Bluff Rd, Valdosta, GA 31602-4965 | |
| (229) 219-0700 | |
| (229) 219-0702 |
| Full Name | North Valdosta Therapy Services Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4611 Tillman Bluff Rd, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053338715 | NPI | - | NPPES |
| 195254462B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT007616 (Georgia) | Primary |
| Provider Name | Robert Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619011566 PECOS PAC ID: 2466361456 Enrollment ID: I20040817000468 |
| Mailing Address | Practice Location Address |
|---|---|
| North Valdosta Therapy Services Inc 4611 Tillman Bluff Rd, Valdosta, GA 31602-4965 Ph: (229) 245-1048 | North Valdosta Therapy Services Inc 4611 Tillman Bluff Rd, Valdosta, GA 31602-4965 Ph: (229) 219-0700 |
Mrs. Anna Deloach, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 W Park Ave, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522 | |
Revajo S. Broadwater, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3537 North Crossing Circle, Valdosta, GA 31602 Phone: 229-333-0095 Fax: 229-333-0756 | |
Dr. John Tanner Allen, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 Clover Hill Rd, Valdosta, GA 31602 Phone: 229-740-3484 | |
Robertus Wolters, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3368 Greystone Way, Valdosta, GA 31605 Phone: 229-242-6670 Fax: 229-242-6671 | |
Steven C Moore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2704 N Oak St Bldg A2, Valdosta, GA 31602 Phone: 229-253-1009 Fax: 229-253-1039 | |
Valdosta Pediatric Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 W Moore St, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522 |