| Team Rehabilitation Ga06, Llc | |
|
1456 Church St, Decatur, GA 30030-1526 | |
| (404) 999-3710 | |
| (404) 999-3712 |
| Full Name | Team Rehabilitation Ga06, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1456 Church St, Decatur, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952944753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ashley Elaine Henry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124437660 PECOS PAC ID: 9032431432 Enrollment ID: I20141212001325 |
| Provider Name | Daniel Jonathan Bernath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790160919 PECOS PAC ID: 3678883873 Enrollment ID: I20151029002554 |
| 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 | 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 | Alec Seigle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114553922 PECOS PAC ID: 9739502022 Enrollment ID: I20200702002502 |
| Provider Name | Meghan Babcock Hartman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275146748 PECOS PAC ID: 4082032719 Enrollment ID: I20200914000343 |
| 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 | Darius Gonzalez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063013449 PECOS PAC ID: 0941610455 Enrollment ID: I20201111001476 |
| Provider Name | Erin Kaminsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821582958 PECOS PAC ID: 6709136989 Enrollment ID: I20210908001347 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation Ga06, Llc 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644 | Team Rehabilitation Ga06, Llc 1456 Church St, Decatur, GA 30030-1526 Ph: (404) 999-3710 |
Tiffany A Clerk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2801 N Decatur Rd, Suite 230, Decatur, GA 30033 Phone: 404-294-7211 Fax: 404-294-7595 | |
Shannon R Escarra, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2097 N Decatur Rd, Decatur, GA 30033 Phone: 404-634-7171 Fax: 404-634-7176 | |
Dr. Rodney Edwards, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 235 E Ponce De Leon Ave Ste 160, Decatur, GA 30030 Phone: 404-377-9107 | |
Kyra Morgan Kumbalek, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2836 Lavista Rd Ste B, Decatur, GA 30033 Phone: 678-894-4410 | |
Mrs. Barbara Ann Harris, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-728-7683 | |
Beth Salzman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1244 Clairmont Rd, Suite 224, Decatur, GA 30030 Phone: 404-728-9766 | |
Peter Huang, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1456 Church St, Decatur, GA 30030 Phone: 404-999-3710 Fax: 404-999-3712 |