| Team Rehabilitation Ga12 Llc | |
|
1288 Wellbrook Cir Ne Ste B, Conyers, GA 30012-8032 | |
| (678) 487-5920 | |
| Not Available |
| Full Name | Team Rehabilitation Ga12 Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1288 Wellbrook Cir Ne Ste B, Conyers, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275147431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Allyson Nicole Riedel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477007342 PECOS PAC ID: 9234424722 Enrollment ID: I20160823001702 |
| Provider Name | Ketreena Roshawn Footman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689015026 PECOS PAC ID: 6002037744 Enrollment ID: I20180928002151 |
| Provider Name | Lawrence B Cannon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295185924 PECOS PAC ID: 5193011286 Enrollment ID: I20181017002977 |
| Provider Name | Stephen Michael Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306285812 PECOS PAC ID: 9739590407 Enrollment ID: I20201207001167 |
| 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 | Alicia Blanton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548838782 PECOS PAC ID: 1759782170 Enrollment ID: I20210623001149 |
| Provider Name | Alexander Ivens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568886505 PECOS PAC ID: 3072745025 Enrollment ID: I20210629001793 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation Ga12 Llc 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644 | Team Rehabilitation Ga12 Llc 1288 Wellbrook Cir Ne Ste B, Conyers, GA 30012-8032 Ph: (678) 487-5920 |
Stevi Denise Wheeler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1820 Highway 20 Se Ste 146, Conyers, GA 30013 Phone: 770-929-8872 Fax: 770-929-8890 | |
Kenyata B Holton, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1157b West Ave Sw, Conyers, GA 30012 Phone: 770-922-2420 | |
Brian Jung Hyun Shin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1820 Highway 20 Se, Ste 146, Conyers, GA 30013 Phone: 770-929-8872 Fax: 770-929-8890 | |
Dr. Joshua Michael Brown, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 875 Flat Shoals Rd Se, #160, Conyers, GA 30094 Phone: 770-785-7669 | |
Mr. Brian N Conton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 923 Commercial St Ne, Conyers, GA 30012 Phone: 404-427-7413 Fax: 770-760-8870 | |
Kareem David Pierre, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2395 Wall St Se Ste 176, Conyers, GA 30013 Phone: 770-679-1553 | |
Gary E Woodham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1603 Highway 20 Ne, Suite 201, Conyers, GA 30012 Phone: 770-929-8411 |