| Team Rehabilitation Ga05 Llc | |
|
224b Johnson Ferry Rd Ne, Atlanta, GA 30328-3820 | |
| (470) 300-6670 | |
| (470) 300-6671 |
| Full Name | Team Rehabilitation Ga05 Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 224b Johnson Ferry Rd Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174020713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Katherine Elizabeth Derscheid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861565616 PECOS PAC ID: 8921264243 Enrollment ID: I20180924001547 |
| Provider Name | Karl Moton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255892295 PECOS PAC ID: 2567703622 Enrollment ID: I20190503001277 |
| 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 | Jeremy Dean |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134646433 PECOS PAC ID: 1052686722 Enrollment ID: I20200928002486 |
| Provider Name | Kimberly Carey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689332322 PECOS PAC ID: 0840681409 Enrollment ID: I20211215002924 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation Ga05 Llc 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644 | Team Rehabilitation Ga05 Llc 224b Johnson Ferry Rd Ne, Atlanta, GA 30328-3820 Ph: (470) 300-6670 |
Mrs. Joel Adrianna Bruno, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 390 Stovall St Se, Apt 3109, Atlanta, GA 30316 Phone: 404-719-2515 | |
Erin G Kent, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1867 Harvard Ave, Atlanta, GA 30337 Phone: 404-835-4321 Fax: 404-835-4320 | |
Taylor Morris Gayle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 860 Johnson Fy Rd Ne, Ste 100, Atlanta, GA 30342 Phone: 404-252-5545 Fax: 404-252-5511 | |
Elizabeth Ashley Smith, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 Peachtree St Ne Ste E2, Atlanta, GA 30308 Phone: 404-254-3319 | |
Spencer Edward Kasmere, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Garrett St Se Ste J, Atlanta, GA 30316 Phone: 404-624-5407 Fax: 404-624-5409 | |
Natalie Muniz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3280 Howell Mill Rd Nw Ste 303, Atlanta, GA 30327 Phone: 470-300-6030 Fax: 470-300-6031 | |
Ogoluwakitan Cal Lawanson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3200 Downwood Cir Nw Ste 700, Atlanta, GA 30327 Phone: 404-355-0743 |