Abdourahman Jallow, DPT, PT in Fayetteville, GA - Medicare Physical Therapist In Private Practice Provider

Abdourahman Jallow, DPT, PT is a medicare enrolled "Physical Therapist" provider in Fayetteville, Georgia. He went to Emory University School Of Medicine and graduated in 2024 and has 2 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Emory Physical Therapy, Llc, Team Rehabilitation Services Llc and his current practice location is 115 Sumner Rd, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 407-4446.

Abdourahman Jallow is licensed to practice in Georgia (license number 017466) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104649623.

Contact Information

	Abdourahman Jallow, DPT, PT
	115 Sumner Rd, Fayetteville, GA 30214-4758
	(706) 407-4446
	(706) 845-9481

Map and Direction

Healthcare Provider's Profile

Full Name	Abdourahman Jallow
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	2 Years
Location	115 Sumner Rd, Fayetteville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Abdourahman Jallow attended and graduated from Emory University School Of Medicine in 2024

NPI Data:

NPI Number: 1104649623
Provider Enumeration Date: 11/04/2024
Last Update Date: 12/03/2025

Medicare PECOS Information:

PECOS PAC ID: 5597292169
Enrollment ID: I20241219003953

Medical Identifiers

Medical identifiers for Abdourahman Jallow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104649623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	017466 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emory Physical Therapy, Llc	1153382676	70
Team Rehabilitation Services Llc	2264479518	540

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Abdourahman Jallow allows following entities to bill medicare on his behalf.

Provider Name	Emory Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776

Provider Name	Georgia Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811

Provider Name	Team Rehabilitation Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1508538158 PECOS PAC ID: 2264479518 Enrollment ID: O20211115001221

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. Abdourahman Jallow is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Abdourahman Jallow, DPT, PT 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: () -	Abdourahman Jallow, DPT, PT 115 Sumner Rd, Fayetteville, GA 30214-4758 Ph: (706) 407-4446

Reviews and Comments

Physical Therapist in Fayetteville, GA

Mrs. Lisa Lajune Smith, PT, M.ED. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7183 Fax: 770-719-7189
Mr. Ryan Christopher Yolitz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Suite 103 And 308, Fayetteville, GA 30214 Phone: 770-460-1900 Fax: 770-719-1214
Mrs. Harvelyn Duncan Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1250 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7290
Francis O'rourke, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 565 Banks Rd E, Fayetteville, GA 30214 Phone: 770-875-8621
Sarah Grace Osborne, OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1275 Highway 54 W Ste 200, Fayetteville, GA 30214 Phone: 770-460-8609 Fax: 770-460-8629
Anne Marie Sheridan, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 560 Grady Ave Ste C, Fayetteville, GA 30214 Phone: 770-461-6488 Fax: 770-461-5861
Emily Shiflett, Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 Lanier Ave W Ste 303, Fayetteville, GA 30214 Phone: 770-716-8885

Abdourahman Jallow, DPT, PT - Medicare Physical Therapist in Fayetteville, GA