| Wilfredo Bernardo Clavecilla, PT | |
|
3451 Ernest W Barrett Pkwy Nw Ste 130, Marietta, GA 30064-5035 | |
| (770) 422-5078 | |
| (770) 427-0688 |
| Full Name | Wilfredo Bernardo Clavecilla |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3451 Ernest W Barrett Pkwy Nw Ste 130, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790908507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT008523 (Georgia) | Primary |
| Provider Name | Independent Physical Therapy Of Georgia Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
| Provider Name | Emory Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776 |
| Provider Name | Piedmont Orthopedics, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114317062 PECOS PAC ID: 4385963172 Enrollment ID: O20150429000361 |
| Provider Name | Georgia Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilfredo Bernardo Clavecilla, PT 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915 Ph: (423) 238-7217 | Wilfredo Bernardo Clavecilla, PT 3451 Ernest W Barrett Pkwy Nw Ste 130, Marietta, GA 30064-5035 Ph: (770) 422-5078 |
Veronica V Edwards, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1720 Powers Ferry Rd Se, Suite 100, Marietta, GA 30067 Phone: 770-955-2225 Fax: 770-953-6658 | |
Remobility Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3901 Roswell Rd, Suite 100a, Marietta, GA 30062 Phone: 770-578-4343 Fax: 770-578-4342 | |
Dr. Jacob Irwin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4343 Shallowford Rd Ste 630, Marietta, GA 30062 Phone: 770-449-5152 Fax: 866-821-7683 | |
Susan Harbison Mayne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2217 Roswell Rd., Suite A100, Marietta, GA 30062 Phone: 770-321-6600 Fax: 770-321-5559 | |
Melanie Landers, PT, CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 Olde Towne Pkwy, Suite 130, Marietta, GA 30068 Phone: 770-485-3045 Fax: 770-485-5958 | |
Kristin Lauterbach, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3405 Dallas Hwy Sw Ste 601, Marietta, GA 30064 Phone: 770-438-5226 | |
Chad Mathew Kinshaw, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1197 Johnson Ferry Rd, Marietta, GA 30068 Phone: 770-321-0155 |