Samuel Mario Barros, | |
1603 Georgia Highway 20 Ne Ste 201, Conyers, GA 30012-3946 | |
(770) 929-8411 | |
Not Available |
Full Name | Samuel Mario Barros |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1603 Georgia Highway 20 Ne Ste 201, Conyers, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548045404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Georgia) | Primary |
225100000X | Physical Therapist | PT38223 (Florida) | Secondary |
Provider Name | Peak Performance Sports And Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194714063 PECOS PAC ID: 0749276426 Enrollment ID: O20040421000043 |
Mailing Address | Practice Location Address |
---|---|
Samuel Mario Barros, 4846 Nw 107th Psge, Doral, FL 33178-4353 Ph: (617) 501-1433 | Samuel Mario Barros, 1603 Georgia Highway 20 Ne Ste 201, Conyers, GA 30012-3946 Ph: (770) 929-8411 |
Stevi Denise Wheeler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1820 Highway 20 Se Ste 146, Conyers, GA 30013 Phone: 770-929-8872 Fax: 770-929-8890 | |
Kenyata B Holton, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1157b West Ave Sw, Conyers, GA 30012 Phone: 770-922-2420 | |
Brian Jung Hyun Shin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1820 Highway 20 Se, Ste 146, Conyers, GA 30013 Phone: 770-929-8872 Fax: 770-929-8890 | |
Dr. Joshua Michael Brown, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 875 Flat Shoals Rd Se, #160, Conyers, GA 30094 Phone: 770-785-7669 | |
Mr. Brian N Conton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 923 Commercial St Ne, Conyers, GA 30012 Phone: 404-427-7413 Fax: 770-760-8870 | |
Kareem David Pierre, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2395 Wall St Se Ste 176, Conyers, GA 30013 Phone: 770-679-1553 | |
Gary E Woodham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1603 Highway 20 Ne, Suite 201, Conyers, GA 30012 Phone: 770-929-8411 |