Sutherland Physical Therapy, Inc. | |
5108 Northwind Blvd, Valdosta, GA 31605-7672 | |
(229) 244-1201 | |
(229) 244-1207 |
Full Name | Sutherland Physical Therapy, Inc. |
---|---|
Type | Facility |
Speciality | Physical Therapist - Pediatrics |
Location | 5108 Northwind Blvd, 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 |
---|---|---|---|
1689730319 | NPI | - | NPPES |
000957635C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | PT007469 (Georgia) | Primary |
Provider Name | Eric Sutherland |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639262025 PECOS PAC ID: 2769587203 Enrollment ID: I20070412000071 |
Provider Name | Amanda Martin Moore |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982924635 PECOS PAC ID: 6103013412 Enrollment ID: I20101213001109 |
Provider Name | Joseph D Robison |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932666278 PECOS PAC ID: 9335572924 Enrollment ID: I20191212002175 |
Provider Name | Melissa Hoffman |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124053947 PECOS PAC ID: 2466874722 Enrollment ID: I20200616000735 |
Provider Name | Emma A Mcphail |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558979278 PECOS PAC ID: 1557787090 Enrollment ID: I20200814001519 |
Provider Name | Joseph D Chaney |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1871528604 PECOS PAC ID: 0446676621 Enrollment ID: I20200818003933 |
Provider Name | Claire Lesley Foley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225622459 PECOS PAC ID: 9638585243 Enrollment ID: I20220512001316 |
Provider Name | Alden M Bass |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558078923 PECOS PAC ID: 8527437771 Enrollment ID: I20221209000104 |
Mailing Address | Practice Location Address |
---|---|
Sutherland Physical Therapy, Inc. 5108 Northwind Blvd, Valdosta, GA 31605-7672 Ph: (229) 244-1201 | Sutherland Physical Therapy, Inc. 5108 Northwind Blvd, Valdosta, GA 31605-7672 Ph: (229) 244-1201 |
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 | |
North Valdosta Therapy Services Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4611 Tillman Bluff Rd, Valdosta, GA 31602 Phone: 229-219-0700 Fax: 229-219-0702 | |
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 |