| Amy E Licker, PT | |
|
3533 Hildon Cir, Chamblee, GA 30341-2606 | |
| (404) 290-9732 | |
| Not Available |
| Full Name | Amy E Licker |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 16 Years |
| Location | 3533 Hildon Cir, Chamblee, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164316402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT010134 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pruitthealth Therapy Services Inc | 9335159730 | 22 |
| Provider Name | Pruitthealth Therapy Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1013152933 PECOS PAC ID: 9335159730 Enrollment ID: O20250110000754 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy E Licker, PT 3533 Hildon Cir, Chamblee, GA 30341-2606 Ph: (404) 290-9732 | Amy E Licker, PT 3533 Hildon Cir, Chamblee, GA 30341-2606 Ph: (404) 290-9732 |
Nmotion Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5553 Peachtree Rd Ste 105, Chamblee, GA 30341 Phone: 770-687-2160 |
Lori Tran, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5440 Peachtree Blvd Ste 2, Chamblee, GA 30341 Phone: 470-719-0090 |
Rachele Ulysse, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4961 Buford Hwy, Suite 201, Chamblee, GA 30341 Phone: 404-575-4000 |
Keenon Myers, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5440 Peachtree Blvd, Chamblee, GA 30341 Phone: 470-719-0090 Fax: 470-719-0091 |
Special Settings Pediatric Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3672 Carmel Rd, Chamblee, GA 30341 Phone: 770-458-6732 Fax: 770-458-6732 |
Thomas Edward Medcalf, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5380 Peachtree Rd, Chamblee, GA 30341 Phone: 770-512-0466 Fax: 770-512-0322 |
Dr. Scott Leaderman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5440 Peachtree Blvd, Chamblee, GA 30341 Phone: 470-719-0090 Fax: 470-719-0091 |