| Team Rehabilitation Ga08, Llc | |
|
5440 Peachtree Blvd, Chamblee, GA 30341-2255 | |
| (470) 719-0090 | |
| Not Available |
| Full Name | Team Rehabilitation Ga08, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5440 Peachtree Blvd, Chamblee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023626082 | 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 | Scott P Leaderman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255886024 PECOS PAC ID: 0446663199 Enrollment ID: I20210119002202 |
| Provider Name | Kendall Leclair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972175891 PECOS PAC ID: 1951705714 Enrollment ID: I20210802002408 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation Ga08, Llc 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644 | Team Rehabilitation Ga08, Llc 5440 Peachtree Blvd, Chamblee, GA 30341-2255 Ph: (470) 719-0090 |
Lori Tran, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5440 Peachtree Blvd Ste 2, Chamblee, GA 30341 Phone: 470-719-0090 | |
Rachele Ulysse, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4961 Buford Hwy, Suite 201, Chamblee, GA 30341 Phone: 404-575-4000 | |
Keenon Myers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5440 Peachtree Blvd, Chamblee, GA 30341 Phone: 470-719-0090 Fax: 470-719-0091 | |
Amanda Marie Mattison, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5440 Peachtree Blvd, Chamblee, GA 30341 Phone: 470-719-0090 Fax: 470-719-0091 | |
Special Settings Pediatric Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3672 Carmel Rd, Chamblee, GA 30341 Phone: 770-458-6732 Fax: 770-458-6732 | |
Thomas Edward Medcalf, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5380 Peachtree Rd, Chamblee, GA 30341 Phone: 770-512-0466 Fax: 770-512-0322 |