| Southwest Georgia Rehab, Inc | |
|
1107 Greer St Ste B, Cordele, GA 31015-1921 | |
| (229) 322-5880 | |
| Not Available |
| Full Name | Southwest Georgia Rehab, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1107 Greer St Ste B, Cordele, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902120587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 005830 (Georgia) | Primary |
| 225X00000X | Occupational Therapist | (Georgia) | Secondary |
| Provider Name | Richard J Mckibben |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407949134 PECOS PAC ID: 9931168275 Enrollment ID: I20041004000566 |
| Provider Name | Bridget T Milani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598859373 PECOS PAC ID: 8325943392 Enrollment ID: I20060330000203 |
| Provider Name | Melanie Kelley Peavy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063565257 PECOS PAC ID: 3971674532 Enrollment ID: I20080625000551 |
| Provider Name | Stacey A Hathcock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083816243 PECOS PAC ID: 7416082474 Enrollment ID: I20100316000246 |
| Provider Name | Samantha King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770872400 PECOS PAC ID: 8921283920 Enrollment ID: I20110505000673 |
| Provider Name | Kevin D Hughes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083871016 PECOS PAC ID: 6709048838 Enrollment ID: I20120507000195 |
| Provider Name | Danetta L Hardy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669788931 PECOS PAC ID: 8820372063 Enrollment ID: I20170307000593 |
| Provider Name | Krystal Nestlehutt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205007705 PECOS PAC ID: 5991064289 Enrollment ID: I20180111002991 |
| Provider Name | Hillary D Heitzman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801309174 PECOS PAC ID: 7416200019 Enrollment ID: I20181029002989 |
| Provider Name | Stephanie Whilden Stewart |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942855796 PECOS PAC ID: 1355671876 Enrollment ID: I20190926001667 |
| Provider Name | Kennedy Cowart |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649891227 PECOS PAC ID: 5698196418 Enrollment ID: I20200603002577 |
| Provider Name | Caitlin Greer Webb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902446222 PECOS PAC ID: 4385069392 Enrollment ID: I20200807002809 |
| Provider Name | Jeffrey Allen Wessel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922618164 PECOS PAC ID: 6002234804 Enrollment ID: I20200910001777 |
| Provider Name | Karlie Ingram Mixon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093325961 PECOS PAC ID: 0648698282 Enrollment ID: I20200915001253 |
| Provider Name | Dixie Danielle Edalgo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972195774 PECOS PAC ID: 0547676702 Enrollment ID: I20210312001064 |
| Provider Name | Shelby Dreher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215518881 PECOS PAC ID: 5991114100 Enrollment ID: I20210429000154 |
| Provider Name | Taylor M Pearson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730700733 PECOS PAC ID: 5698184505 Enrollment ID: I20210505002602 |
| Provider Name | Katie Childers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891269528 PECOS PAC ID: 9234532631 Enrollment ID: I20210722002452 |
| Provider Name | Christina Vinyard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912657800 PECOS PAC ID: 0941697932 Enrollment ID: I20220421000571 |
| Provider Name | Elizabeth Anne Cook |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801535869 PECOS PAC ID: 1951773076 Enrollment ID: I20230217000962 |
| Provider Name | Hope Williams Tedder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811673882 PECOS PAC ID: 7911360078 Enrollment ID: I20230823001393 |
| Provider Name | Leah Lanier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235830936 PECOS PAC ID: 4587027024 Enrollment ID: I20230830003474 |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Georgia Rehab, Inc 1107 Greer St Ste B, Cordele, GA 31015-1921 Ph: (229) 273-9445 | Southwest Georgia Rehab, Inc 1107 Greer St Ste B, Cordele, GA 31015-1921 Ph: (229) 322-5880 |
Katherine Hashimoto, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 E 3rd Ave, Cordele, GA 31015 Phone: 229-271-4612 | |
Mrs. Kameron Mckinley Causey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 East 3rd Avenue, Cordele, GA 31015 Phone: 229-271-4612 Fax: 229-271-4616 | |
Mr. Stacey Allen Hathcock, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 307 Third Avenue, Crisp Regional Therapies, Cordele, GA 31015 Phone: 229-271-4612 Fax: 229-271-4616 | |
Kevin Hughes, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 307 E 3rd Ave, Cordele, GA 31015 Phone: 229-271-4612 | |
Karlie Ingram Mixon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1107 Greer St, Cordele, GA 31015 Phone: 229-273-2445 | |
Autumn Suzanne Tripp, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Greer St, Cordele, GA 31015 Phone: 229-207-4004 | |
Leah Lanier, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1107 Greer St Ste A-b, Cordele, GA 31015 Phone: 229-273-9445 |