| Team Rehabilitation Ga01, Llc | |
|
1401 Johnson Ferry Rd Ste 340, Marietta, GA 30062-6495 | |
| (404) 491-7420 | |
| (404) 491-7421 |
| Full Name | Team Rehabilitation Ga01, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1401 Johnson Ferry Rd Ste 340, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871008789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Denise A Daisy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629150255 PECOS PAC ID: 5799783650 Enrollment ID: I20061201000346 |
| Provider Name | Theodore Phillip Ziaylek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235515784 PECOS PAC ID: 4183933856 Enrollment ID: I20151020000902 |
| Provider Name | Stephanie Hendley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982070033 PECOS PAC ID: 6406102193 Enrollment ID: I20180711001181 |
| Provider Name | Samuel Chukwuma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679053805 PECOS PAC ID: 8022352525 Enrollment ID: I20181211001820 |
| Provider Name | Mark Riggins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235786526 PECOS PAC ID: 3274864137 Enrollment ID: I20191008003266 |
| Provider Name | Deanna Chmielewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033767256 PECOS PAC ID: 7214269463 Enrollment ID: I20191021003639 |
| Provider Name | Kennedy Ezzell Welsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558935874 PECOS PAC ID: 5193126753 Enrollment ID: I20210702001252 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation Ga01, Llc 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644 | Team Rehabilitation Ga01, Llc 1401 Johnson Ferry Rd Ste 340, Marietta, GA 30062-6495 Ph: (404) 491-7420 |
Veronica V Edwards, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1720 Powers Ferry Rd Se, Suite 100, Marietta, GA 30067 Phone: 770-955-2225 Fax: 770-953-6658 | |
Remobility Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3901 Roswell Rd, Suite 100a, Marietta, GA 30062 Phone: 770-578-4343 Fax: 770-578-4342 | |
Dr. Jacob Irwin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4343 Shallowford Rd Ste 630, Marietta, GA 30062 Phone: 770-449-5152 Fax: 866-821-7683 | |
Susan Harbison Mayne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2217 Roswell Rd., Suite A100, Marietta, GA 30062 Phone: 770-321-6600 Fax: 770-321-5559 | |
Melanie Landers, PT, CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 Olde Towne Pkwy, Suite 130, Marietta, GA 30068 Phone: 770-485-3045 Fax: 770-485-5958 | |
Kristin Lauterbach, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3405 Dallas Hwy Sw Ste 601, Marietta, GA 30064 Phone: 770-438-5226 | |
Chad Mathew Kinshaw, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1197 Johnson Ferry Rd, Marietta, GA 30068 Phone: 770-321-0155 |