| Shira Dixon Medders, PT, DPT, ATC, MTC | |
|
303 S Wayne St, Alma, GA 31510-2921 | |
| (912) 632-5824 | |
| (912) 632-5894 |
| Full Name | Shira Dixon Medders |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 303 S Wayne St, Alma, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750522553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT009555 (Georgia) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 030702136 (Georgia) | Secondary |
| 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 | Shepard Therapy Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427693407 PECOS PAC ID: 7517389984 Enrollment ID: O20200612001936 |
| Mailing Address | Practice Location Address |
|---|---|
| Shira Dixon Medders, PT, DPT, ATC, MTC 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Shira Dixon Medders, PT, DPT, ATC, MTC 303 S Wayne St, Alma, GA 31510-2921 Ph: (912) 632-5824 |
Zachary Moore, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 804 S Pierce St Ste A, Alma, GA 31510 Phone: 912-632-2667 Fax: 912-632-2668 | |
Mckenzie Craft, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 804 S Pierce St, Alma, GA 31510 Phone: 912-632-2667 Fax: 913-632-2668 | |
Trent Ware, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 804 S Pierce St, Alma, GA 31510 Phone: 912-632-2667 Fax: 912-632-2668 | |
Deborah Shepard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 139 Ga Hwy 32 Bypass, Alma, GA 31510 Phone: 913-632-6321 | |
Arianne Pilpil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 S Pierce St Ste A, Alma, GA 31510 Phone: 912-342-8875 Fax: 912-342-8016 |