Ducktails Pediatric Therapy And Wellness Inc is a
Clinic/center - Physical Therapy based in Evans, Georgia. Ducktails Pediatric Therapy And Wellness Inc is licensed to practice in * (Not Available) (license number ) and their current practice location is
568 Blue Ridge Dr, Evans, Georgia. It can be reached at their office (for appointments etc.) via phone at
(706) 364-5262.
NPI number for Ducktails Pediatric Therapy And Wellness Inc is 1558477695 and their current mailing address is 568 Blue Ridge Dr, Evans, Georgia. Ducktails Pediatric Therapy And Wellness Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1558477695.
Healthcare Provider's Profile
Full Name | Ducktails Pediatric Therapy And Wellness Inc |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 568 Blue Ridge Dr, Evans, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558477695
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 06/18/2025
Medical Identifiers
Medical identifiers for Ducktails Pediatric Therapy And Wellness Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558477695 | NPI | - | NPPES |
000717274C | Medicaid | GA | |
000767456C | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | 003593 (Georgia) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | PT004118 (Georgia) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | PT008564 (Georgia) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | PT004423 (Georgia) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ducktails Pediatric Therapy And Wellness Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ducktails Pediatric Therapy And Wellness Inc 568 Blue Ridge Dr, Evans, GA 30809-3604 Ph: (706) 364-5262 | Ducktails Pediatric Therapy And Wellness Inc 568 Blue Ridge Dr, Evans, GA 30809-3604 Ph: (706) 364-5262 |
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