Stephen Mayo, DPT | |
4754 Martin Rd # 200, Flowery Branch, GA 30542-3507 | |
(770) 967-4377 | |
Not Available |
Full Name | Stephen Mayo |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4754 Martin Rd # 200, Flowery Branch, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427740430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT016573 (Georgia) | Primary |
Provider Name | Back In The Game Physical Therapy, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962669275 PECOS PAC ID: 9133380082 Enrollment ID: O20120419000722 |
Mailing Address | Practice Location Address |
---|---|
Stephen Mayo, DPT 8320 Gabriel Ct, Gainesville, GA 30506-6856 Ph: (770) 624-0845 | Stephen Mayo, DPT 4754 Martin Rd # 200, Flowery Branch, GA 30542-3507 Ph: (770) 967-4377 |
Mrs. Gina Renee Blake, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 4754 Martin Rd, Suite 200, Flowery Branch, GA 30542 Phone: 770-967-4377 Fax: 770-967-8077 | |
Rudo Alice Takawira, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4595 Cantrell Rd, Flowery Branch, GA 30542 Phone: 770-967-2070 | |
Casey Lord, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4450 Falcon Pkwy, Flowery Branch, GA 30542 Phone: 404-778-6390 | |
Joseph B Taylor, PT,DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 5887 Spout Springs Rd Ste D403, Flowery Branch, GA 30542 Phone: 770-967-9301 Fax: 770-967-9526 | |
Wonder Therapeutic Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4875 Hog Mountain Rd Ste B, Flowery Branch, GA 30542 Phone: 404-406-8272 Fax: 770-965-1008 | |
Trey M Short, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 4754 Martin Rd Ste 200, Flowery Branch, GA 30542 Phone: 770-967-4377 Fax: 770-967-8077 |