| Blake Lowenberg, | |
|
1394 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4010 | |
| (706) 858-0252 | |
| Not Available |
| Full Name | Blake Lowenberg |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Location | 1394 Battlefield Pkwy, Fort Oglethorpe, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528990827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070039849 (Illinois) | Secondary |
| 225100000X | Physical Therapist | PT018476 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2187 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Lowenberg, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-8995 | Blake Lowenberg, 1394 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4010 Ph: (706) 858-0252 |
Laura Vaughn, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1394 Battlefield Pkwy, Fort Oglethorpe, GA 30742 Phone: 706-858-0252 Fax: 706-858-0323 |
Matthew Morefield, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1394 Battlefield Pkwy, Fort Oglethorpe, GA 30742 Phone: 706-858-0252 |
Dr. Micaela Janssen Ankar, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1821 Battlefield Pkwy, Fort Oglethorpe, GA 30742 Phone: 706-861-7471 Fax: 706-861-7472 |
Nicholas Hadley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1394 Battlefield Pkwy, Fort Oglethorpe, GA 30742 Phone: 706-858-0252 |
Alisha Beth Reeves, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1394 Battlefield Pkwy, Fort Oglethorpe, GA 30742 Phone: 706-858-0252 Fax: 706-858-0323 |
Lindsey Dowdle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Shelby St, Fort Oglethorpe, GA 30742 Phone: 706-814-0411 |
Dr. Taylor Kinnison, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1821 Battlefield Pkwy, Fort Oglethorpe, GA 30742 Phone: 706-861-7471 Fax: 706-861-7472 |