| Active Alliance Physical Therapy Llc | |
|
355 Woodruff Rd Ste 203, Greenville, SC 29607-3494 | |
| (864) 513-3019 | |
| (864) 712-9270 |
| Full Name | Active Alliance Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 355 Woodruff Rd Ste 203, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295467389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jenna Bartsokas Banks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669888970 PECOS PAC ID: 0143449314 Enrollment ID: I20140920000343 |
| Provider Name | Grant Allen Banks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053702019 PECOS PAC ID: 5193043065 Enrollment ID: I20150406002250 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Alliance Physical Therapy Llc 355 Woodruff Rd Ste 203, Greenville, SC 29607-3494 Ph: (864) 513-3019 | Active Alliance Physical Therapy Llc 355 Woodruff Rd Ste 203, Greenville, SC 29607-3494 Ph: (864) 513-3019 |
Caitlyn Esther Soltes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1344 Fax: 864-331-1446 | |
Stephen Craig Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Doctors Dr, Greenville, SC 29605 Phone: 864-797-7320 | |
Charlotte Bocchino, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Patewood Dr, Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Madalyn Patricia Cregg, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Nia Kenya, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Pelham Rd Ste 12, Greenville, SC 29615 Phone: 864-558-7346 | |
Sara Elizabeth Martin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 N Main St, Ste 99, Greenville, SC 29601 Phone: 864-528-5728 | |
Mrs. Beverly Jane Calhoun, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Nhl Mauldin, 850 E Butler Rd, Greenville, SC 29607 Phone: 864-675-6421 Fax: 864-675-9122 |