| Team Rehabilitation Ga02, Llc | |
|
1060 Eagles Landing Pkwy Ste 230, Stockbridge, GA 30281-9091 | |
| (470) 369-5770 | |
| Not Available |
| Full Name | Team Rehabilitation Ga02, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1060 Eagles Landing Pkwy Ste 230, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316448913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Aaron B Schauble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134208580 PECOS PAC ID: 7618040494 Enrollment ID: I20080728000238 |
| Provider Name | Erin G Kent |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003161266 PECOS PAC ID: 2961658679 Enrollment ID: I20120813000565 |
| Provider Name | Justin Lee Monsrud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245614585 PECOS PAC ID: 1951603497 Enrollment ID: I20151230001298 |
| Provider Name | Angel Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174844872 PECOS PAC ID: 2062796279 Enrollment ID: I20170308000806 |
| Provider Name | Crystal Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548729221 PECOS PAC ID: 5698017721 Enrollment ID: I20190422000495 |
| Provider Name | Brandon J. Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508011586 PECOS PAC ID: 1254673619 Enrollment ID: I20190503002453 |
| Provider Name | David Pruszynski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275195240 PECOS PAC ID: 6608102595 Enrollment ID: I20190731000033 |
| Provider Name | Margaret Wilkins Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134776743 PECOS PAC ID: 9133450059 Enrollment ID: I20191008001233 |
| Provider Name | John Talley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982246948 PECOS PAC ID: 2961835392 Enrollment ID: I20191125003134 |
| Provider Name | Mackenzie Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558973321 PECOS PAC ID: 9234558040 Enrollment ID: I20200929000408 |
| Provider Name | Ryan Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902412067 PECOS PAC ID: 8628497245 Enrollment ID: I20201001001168 |
| Provider Name | Devon Durman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306443478 PECOS PAC ID: 8325467517 Enrollment ID: I20201008000725 |
| Provider Name | Tiffani Michel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396338729 PECOS PAC ID: 6800201948 Enrollment ID: I20210223000627 |
| Provider Name | Victoria Ivens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629581129 PECOS PAC ID: 1153689724 Enrollment ID: I20210401001477 |
| Provider Name | Clarissa Michel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003409673 PECOS PAC ID: 7719396233 Enrollment ID: I20210512001825 |
| Provider Name | Brandon Duong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841966900 PECOS PAC ID: 3971900457 Enrollment ID: I20210927000987 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation Ga02, Llc 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: () - | Team Rehabilitation Ga02, Llc 1060 Eagles Landing Pkwy Ste 230, Stockbridge, GA 30281-9091 Ph: (470) 369-5770 |
Clarissa Michel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1060 Eagles Landing Pkwy Ste 130, Stockbridge, GA 30281 Phone: 470-369-5770 Fax: 470-369-5771 | |
Tyleka Moore, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 199 Medical Blvd, Stockbridge, GA 30281 Phone: 470-781-9440 | |
Mr. Thomas Allen Pace, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 909 Eagles Landing Pkwy Ste 430, Stockbridge, GA 30281 Phone: 770-898-9993 Fax: 770-898-9983 | |
Rehab South Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 Eagles Landing Pkwy, Suite A, Stockbridge, GA 30281 Phone: 678-289-0525 Fax: 678-289-0529 | |
Performance Physical Therapy, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 909 Eagles Landing Pkwy Ste 430, Stockbridge, GA 30281 Phone: 770-506-6993 Fax: 770-506-6994 | |
Carrie Ferguson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 N Park Pl, Suite 250, Stockbridge, GA 30281 Phone: 678-289-4418 | |
David Sahid Gunn, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 240 Medical Blvd, Stockbridge, GA 30281 Phone: 678-595-9207 |