Taylor Peters, DPT | |
12415 N Main Street, Trenton, GA 30752 | |
(706) 657-2700 | |
(706) 657-7965 |
Full Name | Taylor Peters |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 12415 N Main Street, Trenton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194417295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 14942 (Tennessee) | Secondary |
225100000X | Physical Therapist | CP022098T (Georgia) | Primary |
Provider Name | Performance Physical Therapy & Sports Medicine Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871738872 PECOS PAC ID: 8426112137 Enrollment ID: O20090126000014 |
Mailing Address | Practice Location Address |
---|---|
Taylor Peters, DPT Po Box 528, Rome, GA 30162-0528 Ph: (706) 528-4207 | Taylor Peters, DPT 12415 N Main Street, Trenton, GA 30752 Ph: (706) 657-2700 |
Alexandra Chandler, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12415 N Main Street, Trenton, GA 30752 Phone: 706-657-2700 | |
Trenton Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 12415 N Main St, Suite 1, Trenton, GA 30752 Phone: 706-657-2700 Fax: 706-657-7965 | |
Mrs. Mary Dee Kelly, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5381 Highway 136, Trenton, GA 30752 Phone: 706-657-3889 | |
Nicholas Richard Yokum, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5395 Highway 136, Trenton, GA 30752 Phone: 706-657-3035 | |
Trenton Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12415 N Main Street, Suite 1, Trenton, GA 30752 Phone: 706-657-2700 Fax: 706-657-7965 | |
Byron Morey, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5395 Highway 136, Trenton, GA 30752 Phone: 706-657-3035 |