Devon Latez Burgess Jr, DPT | |
2 Doctors Dr, Greenville, SC 29605-4265 | |
(864) 558-8955 | |
Not Available |
Full Name | Devon Latez Burgess Jr |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2 Doctors Dr, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952085144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT016568 (Georgia) | Secondary |
225100000X | Physical Therapist | CP042126T (South Carolina) | Primary |
Provider Name | Evans Rehabilitation Services, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093715773 PECOS PAC ID: 2769467034 Enrollment ID: O20060119000382 |
Mailing Address | Practice Location Address |
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Devon Latez Burgess Jr, DPT 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: (866) 370-8206 | Devon Latez Burgess Jr, DPT 2 Doctors Dr, Greenville, SC 29605-4265 Ph: (864) 558-8955 |
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 | |
Katerine Maria Gonzalez Gonzalez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1904 Roper Mountain Rd, Greenville, SC 29615 Phone: 864-609-4006 | |
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 |