| Mikayla Rolle, | |
|
1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4538 | |
| (770) 460-8609 | |
| Not Available |
| Full Name | Mikayla Rolle |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1275 Highway 54 W Ste 200, Fayetteville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679281679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | 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 | Benchmark Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikayla Rolle, 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915 Ph: (866) 518-0283 | Mikayla Rolle, 1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4538 Ph: (770) 460-8609 |
Michelle Marie Marchese-deutscher, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Howard Lane, Fayetteville, GA 30215 Phone: 770-460-0165 | |
Kelly Nastasi, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Howard Ln, Fayetteville, GA 30215 Phone: 770-460-0165 | |
Acts Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Lanier Ave W Ste 702, Fayetteville, GA 30214 Phone: 678-481-3500 | |
Amanda Searcy, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Wendell Ct, Fayetteville, GA 30215 Phone: 706-975-9602 | |
Amita Agarwal, OTR,CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1336 Highway 54 W, Fayetteville, GA 30214 Phone: 770-461-6142 Fax: 770-461-6610 | |
Jamie Lee Glaze, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 290 Brandywine Blvd, Fayetteville, GA 30214 Phone: 770-460-0165 | |
Jade Rene Grimes, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 126 Pavilion Pkwy, Fayetteville, GA 30214 Phone: 770-954-8988 Fax: 404-393-2447 |