| Rehabilitation Services Of Coffee, Inc | |
|
808 Ward St W, Douglas, GA 31533-3514 | |
| (912) 383-0559 | |
| (912) 383-0614 |
| Full Name | Rehabilitation Services Of Coffee, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 808 Ward St W, Douglas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255440517 | NPI | - | NPPES |
| DA1122 | Other | GA | RR MEDICARE |
| 300031614A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Georgia) | Primary |
| 225X00000X | Occupational Therapist | (Georgia) | Secondary |
| Provider Name | Brandy Mckeown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255348579 PECOS PAC ID: 7517868391 Enrollment ID: I20050729000281 |
| Provider Name | Anthony Forrest Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528078300 PECOS PAC ID: 1153427695 Enrollment ID: I20120306000569 |
| Provider Name | Ronald Gary Adams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922015254 PECOS PAC ID: 2365470754 Enrollment ID: I20120306000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Rehabilitation Services Of Coffee, Inc Po Box 2150, Tifton, GA 31793-2150 Ph: (912) 383-0559 | Rehabilitation Services Of Coffee, Inc 808 Ward St W, Douglas, GA 31533-3514 Ph: (912) 383-0559 |
Independent Physical Therapy Of Ga, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Ward St W, Douglas, GA 31533 Phone: 912-525-5400 Fax: 912-525-3571 | |
Stephen R Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1150 West Ward Street Extension, Magnolia Place B-1, Douglas, GA 31533 Phone: 912-384-4813 Fax: 912-383-9090 | |
Kristy A Weems, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 310 Shirley Ave, Douglas, GA 31533 Phone: 912-260-3650 Fax: 912-383-7361 | |
Natalie Douglas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Ward St W, Douglas, GA 31533 Phone: 912-525-5400 Fax: 912-525-3571 | |
Anthony Forrest Ellis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 808 Ward St W, Douglas, GA 31533 Phone: 912-383-0559 Fax: 912-383-0614 | |
Terri Denise Fussell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1360 Gordon St W, Douglas, GA 31533 Phone: 912-384-6522 |