| Drayer Physical Therapy Georgia Llc | |
|
3455 Hwy 81 South, Loganville, GA 30052-9138 | |
| (678) 635-8280 | |
| (678) 635-8285 |
| Full Name | Drayer Physical Therapy Georgia Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3455 Hwy 81 South, Loganville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962830406 | NPI | - | NPPES |
| Provider Name | George G Girolami |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508804600 PECOS PAC ID: 1254365919 Enrollment ID: I20050922000492 |
| Provider Name | Wilfredo Bernardo Clavecilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790908507 PECOS PAC ID: 5496787426 Enrollment ID: I20071126000043 |
| Provider Name | Aaron R Honeycutt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457686917 PECOS PAC ID: 2567502016 Enrollment ID: I20091215000243 |
| Provider Name | Jennifer Herzwurm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669602397 PECOS PAC ID: 6305981390 Enrollment ID: I20100302000405 |
| Provider Name | John J Gerega |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407164601 PECOS PAC ID: 0143416230 Enrollment ID: I20101201000849 |
| Provider Name | Timothy Carlton Lonergan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528356714 PECOS PAC ID: 3577733906 Enrollment ID: I20110823000286 |
| Provider Name | Wesley Adam Spake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427345081 PECOS PAC ID: 6800066135 Enrollment ID: I20110824000580 |
| Provider Name | Danielle M Foy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780998617 PECOS PAC ID: 3577734953 Enrollment ID: I20110914000802 |
| Provider Name | Rita M Gholston |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164793550 PECOS PAC ID: 6507023280 Enrollment ID: I20120208000365 |
| Provider Name | Brian J Shin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013156421 PECOS PAC ID: 2668528050 Enrollment ID: I20120720000498 |
| Provider Name | Nicole S Gayle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376822411 PECOS PAC ID: 6305097304 Enrollment ID: I20121126000381 |
| Provider Name | Wojciech Jan Konopka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598014441 PECOS PAC ID: 9234381930 Enrollment ID: I20121203000553 |
| Provider Name | Jaclyn Melissa Brandt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609163252 PECOS PAC ID: 0749432953 Enrollment ID: I20130719000721 |
| Provider Name | Laura M Mcmurrain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972629087 PECOS PAC ID: 4981830759 Enrollment ID: I20131127000148 |
| Provider Name | Jana Alexandria Lane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679994230 PECOS PAC ID: 6406086701 Enrollment ID: I20140306001515 |
| Provider Name | Sara Beasley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134446628 PECOS PAC ID: 2365629813 Enrollment ID: I20140501002111 |
| Provider Name | Alaina Marie Lay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861623399 PECOS PAC ID: 2769528793 Enrollment ID: I20140714001279 |
| Provider Name | Leah Marie Forlines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679974661 PECOS PAC ID: 6204056427 Enrollment ID: I20141009001821 |
| Provider Name | Audrey Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083926513 PECOS PAC ID: 7214248236 Enrollment ID: I20150617002325 |
| Provider Name | Katibeth Ann Stein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790115962 PECOS PAC ID: 1658509807 Enrollment ID: I20150730010719 |
| Provider Name | Genevieve A Abi Sarkis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619364627 PECOS PAC ID: 4284940685 Enrollment ID: I20150831002276 |
| Provider Name | Travis Zachary Lewek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447643077 PECOS PAC ID: 6507175767 Enrollment ID: I20151029000927 |
| Provider Name | Amber Bethanny Fulford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477929685 PECOS PAC ID: 9133429780 Enrollment ID: I20151203001733 |
| Provider Name | Joshua M Houseal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326456435 PECOS PAC ID: 0345460879 Enrollment ID: I20151214000188 |
| Provider Name | Corey Thomas Gill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144689316 PECOS PAC ID: 2466757844 Enrollment ID: I20160223000945 |
| Provider Name | Jessica N Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750587341 PECOS PAC ID: 8123323029 Enrollment ID: I20160301001008 |
| Provider Name | Nancy Cohen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558754895 PECOS PAC ID: 2961791223 Enrollment ID: I20160510001898 |
| Provider Name | Hannah Marie Fleming |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447704721 PECOS PAC ID: 3476848532 Enrollment ID: I20160829001054 |
| Provider Name | Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427448653 PECOS PAC ID: 1254635600 Enrollment ID: I20160907001566 |
| Provider Name | Sarah E Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629506464 PECOS PAC ID: 0941579882 Enrollment ID: I20170707002200 |
| Provider Name | Steven Peter Bauernfeind |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932639234 PECOS PAC ID: 7416228937 Enrollment ID: I20170802000985 |
| Provider Name | Sarah J Lienesch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215454319 PECOS PAC ID: 3274809413 Enrollment ID: I20171016003087 |
| Provider Name | Ryan Gabriel Wilkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386195154 PECOS PAC ID: 3779832795 Enrollment ID: I20180823001556 |
| Provider Name | Matthew Bradford Allgood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639528524 PECOS PAC ID: 9931492428 Enrollment ID: I20180907002252 |
| Provider Name | Matthew Tyler Foley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295213387 PECOS PAC ID: 6204188287 Enrollment ID: I20181003001610 |
| 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 | Megan Leigh Mclain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083109573 PECOS PAC ID: 9032462981 Enrollment ID: I20181023003434 |
| Provider Name | Melissa Gayle Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033187372 PECOS PAC ID: 2961664461 Enrollment ID: I20181025000045 |
| Provider Name | Marissa Sellers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275015083 PECOS PAC ID: 6305199696 Enrollment ID: I20181103000017 |
| Provider Name | Michelle Mcaloon Huggins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457818007 PECOS PAC ID: 0840533980 Enrollment ID: I20190513002774 |
| Provider Name | Alexis R Daniel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477119808 PECOS PAC ID: 6507192671 Enrollment ID: I20190726001512 |
| Provider Name | Alisha Beth Reeves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225682750 PECOS PAC ID: 3870822083 Enrollment ID: I20190913001407 |
| Provider Name | Michael James Mangiarelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922521228 PECOS PAC ID: 4789956913 Enrollment ID: I20191014001872 |
| Provider Name | Alexander Honeycutt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154858421 PECOS PAC ID: 2961830658 Enrollment ID: I20200311001347 |
| Provider Name | Jeffery Ebner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649819855 PECOS PAC ID: 4587092002 Enrollment ID: I20200317000586 |
| Provider Name | Serah Iyabode Ayoola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831329663 PECOS PAC ID: 5496183931 Enrollment ID: I20200317001562 |
| Provider Name | Crystal Chantel Everett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417265919 PECOS PAC ID: 4082042056 Enrollment ID: I20200528000434 |
| Provider Name | Chelsea R Hodge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205458098 PECOS PAC ID: 3678994043 Enrollment ID: I20200611000389 |
| Provider Name | Tony Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285090548 PECOS PAC ID: 0941536742 Enrollment ID: I20200727001071 |
| Provider Name | Shantia Warren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700249687 PECOS PAC ID: 0446675581 Enrollment ID: I20200805003489 |
| Provider Name | Jonathan Eidman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487178646 PECOS PAC ID: 3173949914 Enrollment ID: I20200811003247 |
| Provider Name | Calvin Mcmillan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447747555 PECOS PAC ID: 8325464506 Enrollment ID: I20200818004104 |
| Provider Name | Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003426057 PECOS PAC ID: 8820415920 Enrollment ID: I20200903002870 |
| Provider Name | Matthew Roy Eller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083271233 PECOS PAC ID: 9830423359 Enrollment ID: I20200903003131 |
| Provider Name | Angela Christine Cason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306136973 PECOS PAC ID: 9537587894 Enrollment ID: I20200917003168 |
| Provider Name | Ugonna Akoh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932710555 PECOS PAC ID: 7113346016 Enrollment ID: I20200925001979 |
| Provider Name | Kelsey Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417551557 PECOS PAC ID: 6305258666 Enrollment ID: I20201210002692 |
| Provider Name | Antonius Darius Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821695867 PECOS PAC ID: 3375957590 Enrollment ID: I20210129002346 |
| Provider Name | Michael Louis Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063014702 PECOS PAC ID: 0244646115 Enrollment ID: I20210302000474 |
| Provider Name | Michele Howell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093325151 PECOS PAC ID: 7719394105 Enrollment ID: I20210331002518 |
| Provider Name | Jonathan Blake Rawlings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295015592 PECOS PAC ID: 3870765688 Enrollment ID: I20210331002674 |
| Provider Name | Peter Huang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023607504 PECOS PAC ID: 5991112310 Enrollment ID: I20210401000817 |
| Provider Name | Youngsoo Yoo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477145597 PECOS PAC ID: 5597172841 Enrollment ID: I20210402000002 |
| Provider Name | Hannah Dillon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881273274 PECOS PAC ID: 9537577226 Enrollment ID: I20210419000815 |
| Provider Name | Melanie Lane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871062364 PECOS PAC ID: 3971917907 Enrollment ID: I20210517002558 |
| Provider Name | Lia Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346829652 PECOS PAC ID: 1658770813 Enrollment ID: I20210520002580 |
| Provider Name | Bria Iman Savage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235776600 PECOS PAC ID: 8123427226 Enrollment ID: I20210521001542 |
| Provider Name | Kristi S Dean |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104942077 PECOS PAC ID: 8729127931 Enrollment ID: I20210521002057 |
| Provider Name | Yulim Hong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467838805 PECOS PAC ID: 5698084531 Enrollment ID: I20210616001467 |
| Provider Name | Ryan Thomas Albright |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972195311 PECOS PAC ID: 8628478302 Enrollment ID: I20210617000955 |
| Provider Name | Michael Robert Golden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225675002 PECOS PAC ID: 8022410612 Enrollment ID: I20210702002699 |
| Provider Name | Jouan Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881174829 PECOS PAC ID: 4486906922 Enrollment ID: I20210706001414 |
| Provider Name | Niah Yvette Fulford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417071564 PECOS PAC ID: 3870874886 Enrollment ID: I20210726000845 |
| Provider Name | Robert Garrison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770153124 PECOS PAC ID: 3476956236 Enrollment ID: I20210730002203 |
| Provider Name | Avie Catherine Churchwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417526260 PECOS PAC ID: 6709280118 Enrollment ID: I20210806002688 |
| Provider Name | Alexandrea Sills |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790355378 PECOS PAC ID: 1254736044 Enrollment ID: I20210817001312 |
| Provider Name | Sean Grisham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083388441 PECOS PAC ID: 6103221767 Enrollment ID: I20210819001049 |
| Provider Name | Kyle Rahschulte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811568728 PECOS PAC ID: 3971908401 Enrollment ID: I20210823000672 |
| Provider Name | Abigail Christine Porter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780255463 PECOS PAC ID: 7517362940 Enrollment ID: I20210824001822 |
| Provider Name | Tyler Matthew Sarrazin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164199790 PECOS PAC ID: 1355747171 Enrollment ID: I20210902001420 |
| Provider Name | Neva E Howell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568137149 PECOS PAC ID: 8820494677 Enrollment ID: I20210902002565 |
| Provider Name | Breanna Roderos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144998972 PECOS PAC ID: 2961808175 Enrollment ID: I20210913002355 |
| Provider Name | Alexis Nicole Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093484313 PECOS PAC ID: 8820495815 Enrollment ID: I20210917000578 |
| Provider Name | Ian Michael Mcneill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033885041 PECOS PAC ID: 4587061361 Enrollment ID: I20210921002426 |
| Provider Name | Nicholas R Hayden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831865625 PECOS PAC ID: 5698172161 Enrollment ID: I20210927000584 |
| Provider Name | Alexxis Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720755838 PECOS PAC ID: 0143628263 Enrollment ID: I20211004002923 |
| Provider Name | James Hunter Pickens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932879723 PECOS PAC ID: 5496153041 Enrollment ID: I20211012001549 |
| Provider Name | Michael Dennison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144990417 PECOS PAC ID: 9830597327 Enrollment ID: I20211014000326 |
| Provider Name | Erin Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073192415 PECOS PAC ID: 1456752138 Enrollment ID: I20211015000123 |
| Provider Name | Simone R Yuds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689288540 PECOS PAC ID: 6305234097 Enrollment ID: I20211029000761 |
| Provider Name | Jonathan Lee Casas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891458956 PECOS PAC ID: 0749678233 Enrollment ID: I20211103000606 |
| Provider Name | Dominique Leary |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770982423 PECOS PAC ID: 8921229824 Enrollment ID: I20211103000783 |
| Provider Name | Amanda Brinkman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396407581 PECOS PAC ID: 1456740844 Enrollment ID: I20211104002354 |
| Provider Name | Lauren Riddell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871257568 PECOS PAC ID: 2961891296 Enrollment ID: I20211108002084 |
| Provider Name | Anne Nicole Schick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699430025 PECOS PAC ID: 1658760871 Enrollment ID: I20211109003295 |
| Provider Name | Veronica Joye Leader |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841955705 PECOS PAC ID: 4082003132 Enrollment ID: I20211111002390 |
| Provider Name | Rachel Palmgren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902572241 PECOS PAC ID: 9830588664 Enrollment ID: I20211116001542 |
| Provider Name | Aaminah Ishmael |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083370654 PECOS PAC ID: 4880083484 Enrollment ID: I20211122000638 |
| Provider Name | Cheryl Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144846668 PECOS PAC ID: 1850780354 Enrollment ID: I20211122001205 |
| Provider Name | Mark William Mcmanus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649877622 PECOS PAC ID: 8820401193 Enrollment ID: I20211122001392 |
| Provider Name | Isaiah Rakarl Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528725835 PECOS PAC ID: 2860882321 Enrollment ID: I20211124001376 |
| Provider Name | William M Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760901565 PECOS PAC ID: 6800153214 Enrollment ID: I20211201000861 |
| Provider Name | Kei Francis Fung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912662792 PECOS PAC ID: 5991195091 Enrollment ID: I20211203001901 |
| Provider Name | Le Ann Mancio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942647300 PECOS PAC ID: 9830323260 Enrollment ID: I20211217000134 |
| Provider Name | Alexandria Massey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710642293 PECOS PAC ID: 6608267711 Enrollment ID: I20211228002486 |
| Provider Name | Anna Glowcheski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568129583 PECOS PAC ID: 6204227127 Enrollment ID: I20220103000203 |
| Provider Name | Kathryn Lynne Naber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487312070 PECOS PAC ID: 0345631255 Enrollment ID: I20220104001886 |
| Provider Name | Candace Godwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841308095 PECOS PAC ID: 6608267315 Enrollment ID: I20220106000576 |
| Provider Name | Jennifer Nicole Sharpless |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205303088 PECOS PAC ID: 4688066392 Enrollment ID: I20220110000016 |
| Provider Name | Dominic Bendetti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306506621 PECOS PAC ID: 7719379460 Enrollment ID: I20220110001483 |
| Provider Name | Stephanie Samantha Gibson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174175731 PECOS PAC ID: 8628460516 Enrollment ID: I20220127000534 |
| Provider Name | Brandon Bullock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114560604 PECOS PAC ID: 7113319922 Enrollment ID: I20220127001617 |
| Provider Name | Stuart Michael Shaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376198960 PECOS PAC ID: 6507259249 Enrollment ID: I20220202000758 |
| Provider Name | Solana M Forrest |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497334841 PECOS PAC ID: 8729471297 Enrollment ID: I20220204000244 |
| Provider Name | Karen Jessica Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649684234 PECOS PAC ID: 2264825405 Enrollment ID: I20220210000555 |
| Provider Name | Adam Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710631536 PECOS PAC ID: 9234522335 Enrollment ID: I20220214001803 |
| Provider Name | Donald Mercado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063167500 PECOS PAC ID: 3072906973 Enrollment ID: I20220216001324 |
| Provider Name | Jessica Marie Stabler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487260782 PECOS PAC ID: 5294129748 Enrollment ID: I20220225001016 |
| Provider Name | Matthew Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154094720 PECOS PAC ID: 6800293663 Enrollment ID: I20220225001457 |
| Provider Name | Lacie Anise Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396498630 PECOS PAC ID: 2961896337 Enrollment ID: I20220301000481 |
| Provider Name | Michael Simmons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376126904 PECOS PAC ID: 5496149528 Enrollment ID: I20220307000120 |
| Provider Name | Natalie Chavez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073073383 PECOS PAC ID: 4486048527 Enrollment ID: I20220307000541 |
| Provider Name | Matthew Ryan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447907738 PECOS PAC ID: 5597150565 Enrollment ID: I20220310000896 |
| Provider Name | Russell Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528021607 PECOS PAC ID: 7012955511 Enrollment ID: I20220315001721 |
| Provider Name | Sophia Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518638154 PECOS PAC ID: 5193110872 Enrollment ID: I20220315002596 |
| Provider Name | Jenna Moskow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144634049 PECOS PAC ID: 4880089283 Enrollment ID: I20220322002081 |
| Provider Name | Jonathan D Bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013583335 PECOS PAC ID: 1951701416 Enrollment ID: I20220322002790 |
| Provider Name | Tyler Judson Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225782923 PECOS PAC ID: 5991191918 Enrollment ID: I20220331000104 |
| Provider Name | Charlotte Chatto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538822424 PECOS PAC ID: 8527456375 Enrollment ID: I20220406000964 |
| Provider Name | Madison Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164056636 PECOS PAC ID: 0042606584 Enrollment ID: I20220408001024 |
| Provider Name | Jessica Drury Carrero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528724218 PECOS PAC ID: 3375939754 Enrollment ID: I20220412001490 |
| Provider Name | Kayla Reeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295476133 PECOS PAC ID: 8527454909 Enrollment ID: I20220412001612 |
| Provider Name | Stephen Baksay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366442352 PECOS PAC ID: 7214835438 Enrollment ID: I20220420000664 |
| Provider Name | Natalie Slocumb Barron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952952103 PECOS PAC ID: 2163809195 Enrollment ID: I20220513000500 |
| Provider Name | Taylor Lane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104562057 PECOS PAC ID: 2567849284 Enrollment ID: I20220519000577 |
| Provider Name | Madison Shreve |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437800422 PECOS PAC ID: 1052798691 Enrollment ID: I20220519001802 |
| Provider Name | Dana Renee Weaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972240307 PECOS PAC ID: 6103204516 Enrollment ID: I20220525002106 |
| Provider Name | Adriel Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952040156 PECOS PAC ID: 6406234004 Enrollment ID: I20220610001230 |
| Provider Name | Jacob Brownlee Odom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992443212 PECOS PAC ID: 5597144980 Enrollment ID: I20220615000323 |
| Provider Name | Ashley Michelle Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831766872 PECOS PAC ID: 7416358254 Enrollment ID: I20220627000535 |
| Provider Name | Anastasia Hart Corpus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386376523 PECOS PAC ID: 9436539590 Enrollment ID: I20220706003963 |
| Provider Name | Dewey Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306509310 PECOS PAC ID: 4183010523 Enrollment ID: I20220711001092 |
| Provider Name | John Kennedy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427690726 PECOS PAC ID: 0446681712 Enrollment ID: I20220714000083 |
| Provider Name | Matthew Tucker Coppage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114657079 PECOS PAC ID: 5193106730 Enrollment ID: I20220714000092 |
| Provider Name | Audrey Chase Ferguson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508381054 PECOS PAC ID: 7214318302 Enrollment ID: I20220720003423 |
| Provider Name | Alexis St.charles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487202172 PECOS PAC ID: 7113257700 Enrollment ID: I20220801000066 |
| Provider Name | Keith Winston Dunbar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801525522 PECOS PAC ID: 7214319714 Enrollment ID: I20220801000143 |
| Provider Name | Katherine Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881325397 PECOS PAC ID: 3173905437 Enrollment ID: I20220803000030 |
| Provider Name | Rayon Gray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548862667 PECOS PAC ID: 1355754813 Enrollment ID: I20220804000733 |
| Provider Name | Sean Kishel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104597962 PECOS PAC ID: 2860875770 Enrollment ID: I20220810000777 |
| Provider Name | Courtney Alexis Landrum |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477224798 PECOS PAC ID: 3476936147 Enrollment ID: I20220812000449 |
| Provider Name | Kendrique Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548993074 PECOS PAC ID: 4981087509 Enrollment ID: I20220815003018 |
| Provider Name | Megan Moore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003569757 PECOS PAC ID: 5890178347 Enrollment ID: I20220816000693 |
| Provider Name | Kristen Bufkin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164150504 PECOS PAC ID: 4981087210 Enrollment ID: I20220818001139 |
| Provider Name | Glenn Jackson Lamar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932837408 PECOS PAC ID: 3072996222 Enrollment ID: I20220819002886 |
| Provider Name | Kirsten West-loewen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821724253 PECOS PAC ID: 5698158863 Enrollment ID: I20220822000495 |
| Provider Name | Deana-jo Weaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831838499 PECOS PAC ID: 7517340581 Enrollment ID: I20220824001871 |
| Provider Name | Elijah Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104554195 PECOS PAC ID: 9436533445 Enrollment ID: I20220824003575 |
| Provider Name | Morgan Reed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972221174 PECOS PAC ID: 8729462692 Enrollment ID: I20220826002743 |
| Provider Name | Kilani Kristen Gaston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093291882 PECOS PAC ID: 9234489584 Enrollment ID: I20220829002342 |
| Provider Name | Fang-zhou Zhou |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942938121 PECOS PAC ID: 9931583473 Enrollment ID: I20220831003323 |
| Provider Name | Mary Toth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053030700 PECOS PAC ID: 1557745049 Enrollment ID: I20220901001134 |
| Provider Name | Maria Farag |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255068938 PECOS PAC ID: 7618351115 Enrollment ID: I20220901001654 |
| Provider Name | Brittany Christine Penney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891208690 PECOS PAC ID: 6406115146 Enrollment ID: I20220906001435 |
| Provider Name | Marivic Lucena Diego |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720737885 PECOS PAC ID: 5395129597 Enrollment ID: I20220907004038 |
| Provider Name | Angelyn Marie Chartier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588302798 PECOS PAC ID: 6507246352 Enrollment ID: I20220912001434 |
| Provider Name | Kelsey Brianna Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831825603 PECOS PAC ID: 9739564790 Enrollment ID: I20220913000382 |
| Provider Name | Andrew Brock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649905779 PECOS PAC ID: 1355726142 Enrollment ID: I20220914002941 |
| Provider Name | Jori Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518693217 PECOS PAC ID: 9133504780 Enrollment ID: I20220916002811 |
| Provider Name | Jessica Hutchens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679200737 PECOS PAC ID: 0042695603 Enrollment ID: I20220916003240 |
| Provider Name | Claire Dowling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366179459 PECOS PAC ID: 6204211865 Enrollment ID: I20220916003343 |
| Provider Name | Andrew Besh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497475545 PECOS PAC ID: 2466837075 Enrollment ID: I20220919001369 |
| Provider Name | Khayah Peters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326768060 PECOS PAC ID: 2466837901 Enrollment ID: I20220919003175 |
| Provider Name | Julianna Wilcox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407574478 PECOS PAC ID: 8628453917 Enrollment ID: I20220922003353 |
| Provider Name | Kaelee Hope Mcdowell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437871555 PECOS PAC ID: 7416332614 Enrollment ID: I20220922003995 |
| Provider Name | Dallyn Putz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780163329 PECOS PAC ID: 4284029661 Enrollment ID: I20220927003820 |
| Provider Name | Patricia Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861153710 PECOS PAC ID: 0547653990 Enrollment ID: I20220930002108 |
| Provider Name | Nashreen Dungca Shamsudeen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790423689 PECOS PAC ID: 7517343304 Enrollment ID: I20221001000028 |
| Provider Name | Mahnoor Kamran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942922695 PECOS PAC ID: 6204212947 Enrollment ID: I20221003002282 |
| Provider Name | Nader Baaklini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538887575 PECOS PAC ID: 6305222910 Enrollment ID: I20221005002761 |
| Provider Name | Colin Mccaulley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336872258 PECOS PAC ID: 6901272954 Enrollment ID: I20221018000034 |
| Provider Name | Dustin Dyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578288890 PECOS PAC ID: 6507232956 Enrollment ID: I20221026001988 |
| Provider Name | Jennifer L Bruckner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427779172 PECOS PAC ID: 4183092588 Enrollment ID: I20221116000072 |
| Provider Name | Nicole P Wiggins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134837172 PECOS PAC ID: 6002285186 Enrollment ID: I20221212002653 |
| Provider Name | Micah Hurrelbrink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457452831 PECOS PAC ID: 8820467400 Enrollment ID: I20221221000736 |
| Provider Name | Ty Balty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376196568 PECOS PAC ID: 9830427970 Enrollment ID: I20230109000726 |
| Provider Name | Bhumiben Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902438310 PECOS PAC ID: 0941600399 Enrollment ID: I20230112002827 |
| Provider Name | Madison Elizabeth Holden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124732920 PECOS PAC ID: 4284005760 Enrollment ID: I20230119002084 |
| Provider Name | Gabrielle Inez Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720700255 PECOS PAC ID: 5991176133 Enrollment ID: I20230125002295 |
| Provider Name | Kelly Bradley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679125975 PECOS PAC ID: 5597174334 Enrollment ID: I20230206002248 |
| Provider Name | Shanice Teasley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821703034 PECOS PAC ID: 8527430198 Enrollment ID: I20230207003240 |
| Provider Name | Hannah Rawlings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508330200 PECOS PAC ID: 3274905666 Enrollment ID: I20230213001065 |
| Provider Name | Brady Mcwilliams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649894759 PECOS PAC ID: 6406253897 Enrollment ID: I20230216001915 |
| Provider Name | Bradley Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528783834 PECOS PAC ID: 4486026416 Enrollment ID: I20230221000267 |
| Provider Name | Preston Donjon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497470413 PECOS PAC ID: 2264809490 Enrollment ID: I20230302002467 |
| Provider Name | Shivani Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083314488 PECOS PAC ID: 2264806181 Enrollment ID: I20230316000447 |
| Provider Name | Christopher Bradley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811658669 PECOS PAC ID: 8224421383 Enrollment ID: I20230321000238 |
| Provider Name | Kayla Karr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831890870 PECOS PAC ID: 5890169098 Enrollment ID: I20230329000734 |
| Provider Name | Kristoffer Totanes Magallanes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134836984 PECOS PAC ID: 4183099336 Enrollment ID: I20230331001702 |
| Provider Name | Nykiyah Renee Lavender |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336721166 PECOS PAC ID: 6002281029 Enrollment ID: I20230405000823 |
| Provider Name | Christian Sundee Ikalina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255000154 PECOS PAC ID: 9931507076 Enrollment ID: I20230412000411 |
| Provider Name | Samantha Bernardo Paredes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487201638 PECOS PAC ID: 8729443064 Enrollment ID: I20230420001779 |
| Provider Name | Daniel J Staples |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033771357 PECOS PAC ID: 2961733282 Enrollment ID: I20230427001449 |
| Provider Name | Ciara Grace Maderazo Tan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528782158 PECOS PAC ID: 0840655544 Enrollment ID: I20230502003411 |
| Provider Name | Maria Concepcion Atienza Panganiban |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033833892 PECOS PAC ID: 6204291784 Enrollment ID: I20230505001807 |
| Provider Name | Madison Hopper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811695968 PECOS PAC ID: 2365808938 Enrollment ID: I20230524001574 |
| Provider Name | Avery Katherine White |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285278473 PECOS PAC ID: 7214394907 Enrollment ID: I20230612002479 |
| Provider Name | Sofia Tapia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629760871 PECOS PAC ID: 2961860051 Enrollment ID: I20230622000378 |
| Provider Name | Jacklyn Paumig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275246977 PECOS PAC ID: 4486014719 Enrollment ID: I20230719000638 |
| Provider Name | Diane E Mcfarlane |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710261136 PECOS PAC ID: 5294195442 Enrollment ID: I20230719002046 |
| Provider Name | Grace Bullington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245928605 PECOS PAC ID: 4284094491 Enrollment ID: I20230720000151 |
| Provider Name | Kisha Ena Pada Pagay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093425969 PECOS PAC ID: 1759742646 Enrollment ID: I20230725000877 |
| Provider Name | Nia Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003505108 PECOS PAC ID: 1456712322 Enrollment ID: I20230726000243 |
| Provider Name | Stacy Hwang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033844964 PECOS PAC ID: 3577924612 Enrollment ID: I20230804002317 |
| Provider Name | Karrel Castigador Catequista |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528763653 PECOS PAC ID: 9234593047 Enrollment ID: I20230913000412 |
| Provider Name | Michelle Alade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073211827 PECOS PAC ID: 3375917289 Enrollment ID: I20230920002853 |
| Provider Name | Khianna Anthony |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225623945 PECOS PAC ID: 4183032725 Enrollment ID: I20231019001802 |
| Provider Name | Marcus Bradley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922886183 PECOS PAC ID: 6507212842 Enrollment ID: I20231024000277 |
| Provider Name | Monique Simmons Dillard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790908572 PECOS PAC ID: 7214929868 Enrollment ID: I20231031002287 |
| Provider Name | Justin Seneris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922793819 PECOS PAC ID: 9133575947 Enrollment ID: I20231031002350 |
| Provider Name | Zachary Leader |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467231886 PECOS PAC ID: 2961858618 Enrollment ID: I20231101000532 |
| Provider Name | Jonathon Pt Shumway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386285963 PECOS PAC ID: 6901238286 Enrollment ID: I20231101002830 |
| Provider Name | Jessica P Joseph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659007425 PECOS PAC ID: 0345624938 Enrollment ID: I20231114003077 |
| Provider Name | Michael Casillas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225635907 PECOS PAC ID: 8527478940 Enrollment ID: I20231121001225 |
| Provider Name | Jessica Chism |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679203699 PECOS PAC ID: 0446634943 Enrollment ID: I20231218002801 |
| Provider Name | Jason Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629661160 PECOS PAC ID: 3375959182 Enrollment ID: I20231220000537 |
| Provider Name | Brian Alexander Langevin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558130278 PECOS PAC ID: 0547605883 Enrollment ID: I20240227001739 |
| Provider Name | Samantha Belen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518599489 PECOS PAC ID: 6305262262 Enrollment ID: I20240305002598 |
| Provider Name | Anecia Slaughter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801406509 PECOS PAC ID: 7012327711 Enrollment ID: I20240321000414 |
| Provider Name | Brady Burke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093589624 PECOS PAC ID: 7214374271 Enrollment ID: I20240326002478 |
| Provider Name | Sharity Staser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659092427 PECOS PAC ID: 5092186494 Enrollment ID: I20240327000441 |
| Provider Name | Niyati Amin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922775949 PECOS PAC ID: 4486092053 Enrollment ID: I20240402000331 |
| Provider Name | Samuel Underwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194397604 PECOS PAC ID: 6608258256 Enrollment ID: I20240409000360 |
| Provider Name | Savannah Olsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841982683 PECOS PAC ID: 8325483613 Enrollment ID: I20241220000294 |
| Provider Name | Dominique Nicole Simmons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881237410 PECOS PAC ID: 5193252211 Enrollment ID: I20241231000860 |
| Provider Name | Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427874916 PECOS PAC ID: 7012445067 Enrollment ID: I20250103003322 |
| Provider Name | Lauren Middleton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417335712 PECOS PAC ID: 9032403621 Enrollment ID: I20250109003577 |
| Provider Name | Eliana Lanphar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861185597 PECOS PAC ID: 9234670738 Enrollment ID: I20250113002242 |
| Provider Name | Mikaila Hartigan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578338364 PECOS PAC ID: 7416492087 Enrollment ID: I20250123003050 |
| Provider Name | Caroline Averette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205690914 PECOS PAC ID: 6002254182 Enrollment ID: I20250211002981 |
| Provider Name | Joshua Mcbryde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275398836 PECOS PAC ID: 9537506340 Enrollment ID: I20250220003372 |
| Provider Name | Montana Young |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750191532 PECOS PAC ID: 7113447939 Enrollment ID: I20250225000161 |
| Provider Name | Breanna Butcher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144033911 PECOS PAC ID: 3375066699 Enrollment ID: I20250327002052 |
| Mailing Address | Practice Location Address |
|---|---|
| Drayer Physical Therapy Georgia Llc 1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424 Ph: (423) 238-8923 | Drayer Physical Therapy Georgia Llc 3455 Hwy 81 South, Loganville, GA 30052-9138 Ph: (678) 635-8280 |
Katherine Martell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Athens Hwy, Loganville, GA 30052 Phone: 770-554-2307 | |
Tracy Aifuwa, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4743 Atlanta Hwy Ste 100, Loganville, GA 30052 Phone: 770-466-9343 Fax: 770-466-9345 | |
Merin Mathew, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3939 Atlanta Hwy Ste 104, Loganville, GA 30052 Phone: 770-884-2800 | |
Jason Thelen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Athens Hwy, Loganville, GA 30052 Phone: 770-554-2307 | |
Sherri Wilder, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 Towler Dr, Loganville, GA 30052 Phone: 404-694-2480 | |
Nancy Turpin, PT, CERT MDT, TDPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3440 Highway 81, Loganville, GA 30052 Phone: 770-554-5009 Fax: 706-546-8792 | |
Ms. Rose Mary Tuggle, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3939 Athens Hwy, Ste 104, Loganville, GA 30052 Phone: 770-884-2800 Fax: 770-884-2805 |