| Ailly Bocado Bagorio, PT, DPT | |
|
990 E Main St Ste 7, Blue Ridge, GA 30513-4534 | |
| (706) 946-2035 | |
| Not Available |
| Full Name | Ailly Bocado Bagorio |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 990 E Main St Ste 7, Blue Ridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265287999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | PT017472 (Georgia) | 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 | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20111018000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Ailly Bocado Bagorio, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283 | Ailly Bocado Bagorio, PT, DPT 990 E Main St Ste 7, Blue Ridge, GA 30513-4534 Ph: (706) 946-2035 |
Janet Vollrath, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 259 Pony Ghost Trl, Blue Ridge, GA 30513 Phone: 706-632-4418 Fax: 706-632-9756 | |
Katharine S Sampson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 Phone: 706-632-8535 Fax: 706-632-8485 | |
Janie Christine Hitchcock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Ballewtown Rd, Blue Ridge, GA 30513 Phone: 706-933-0006 | |
Ashley Megan Jones, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Riverstone Vis, Ste. 113, Blue Ridge, GA 30513 Phone: 706-964-4261 | |
Mary Minter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5425 Appalachian Hwy, Ste 2, Blue Ridge, GA 30513 Phone: 706-632-8535 | |
Carla Roberts, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 Phone: 706-632-8535 Fax: 706-632-8485 |