Gregory A Pemberton, RPT AND OTR | |
2253 Allegheny Lane, Watkinsville, GA 30677-8347 | |
(678) 753-1135 | |
(678) 753-1173 |
Full Name | Gregory A Pemberton |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2253 Allegheny Lane, Watkinsville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093938722 | NPI | - | NPPES |
000692546B | Medicaid | GA | |
000692546C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT000620 (Georgia) | Secondary |
225100000X | Physical Therapist | PT002327 (Georgia) | Primary |
Provider Name | Fox Rehabilitation Services Of South Carolina, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1902133689 PECOS PAC ID: 3971639998 Enrollment ID: O20100330000294 |
Mailing Address | Practice Location Address |
---|---|
Gregory A Pemberton, RPT AND OTR 2253 Allegheny Lane, Watkinsville, GA 30677-8347 Ph: (678) 753-1135 | Gregory A Pemberton, RPT AND OTR 2253 Allegheny Lane, Watkinsville, GA 30677-8347 Ph: (678) 753-1135 |
Katherine Butler, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1381 Sunset Rdg, Watkinsville, GA 30677 Phone: 706-340-2298 Fax: 706-243-4652 | |
Sugarbear Pediatrics, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3810 Maddison Ave, Watkinsville, GA 30677 Phone: 253-970-5958 | |
Mr. Ian Michael Mcneill, PT, DPT, CERT DN Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1260 Mars Hill Rd Ste 115, Watkinsville, GA 30677 Phone: 706-705-6110 | |
Heather J Ward, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1260 Mars Hill Rd Ste 115, Watkinsville, GA 30677 Phone: 706-705-6110 | |
Allison Bowen Donatelli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Jennings Mill Rd Ste 170, Watkinsville, GA 30677 Phone: 706-552-1923 | |
Janet L. Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 264 Concord Dr, Watkinsville, GA 30677 Phone: 706-769-0366 | |
Mrs. Jennifer Hoerning Baxley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1181 Arizona Bnd, Watkinsville, GA 30677 Phone: 252-425-4169 |