| Georgia Luna Care Physical Therapy Llc | |
|
504 Everett St, St Simons Is, GA 31522-4605 | |
| (877) 839-6979 | |
| Not Available |
| Full Name | Georgia Luna Care Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 504 Everett St, St Simons Is, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245826999 | NPI | - | NPPES |
| Provider Name | Melissa J Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134167216 PECOS PAC ID: 5890683247 Enrollment ID: I20040308000497 |
| Provider Name | Michael Mckinnie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447200688 PECOS PAC ID: 4981685625 Enrollment ID: I20040528000261 |
| Provider Name | Maria V Ginsburg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457479230 PECOS PAC ID: 1456335819 Enrollment ID: I20040615000526 |
| Provider Name | Arnel M Enverga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629738026 PECOS PAC ID: 8729062880 Enrollment ID: I20040616000243 |
| Provider Name | Leah A Bulow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891732020 PECOS PAC ID: 8729049960 Enrollment ID: I20041021000588 |
| Provider Name | Enis Woods |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871655043 PECOS PAC ID: 8022909563 Enrollment ID: I20050412000511 |
| Provider Name | Robert Kent Osborn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801974035 PECOS PAC ID: 6608819388 Enrollment ID: I20050603000250 |
| Provider Name | Damon S Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710999099 PECOS PAC ID: 1850325341 Enrollment ID: I20050926000590 |
| Provider Name | Robert Medrzycki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336256411 PECOS PAC ID: 9830105394 Enrollment ID: I20060222000012 |
| Provider Name | Meghan P Odom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619069218 PECOS PAC ID: 9436165370 Enrollment ID: I20060301000396 |
| Provider Name | Kari E Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922054907 PECOS PAC ID: 0345258547 Enrollment ID: I20060330000065 |
| Provider Name | Maria E Doolen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023056025 PECOS PAC ID: 8123037983 Enrollment ID: I20060406000438 |
| Provider Name | Spencer Wingate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205988789 PECOS PAC ID: 5294646196 Enrollment ID: I20060413000311 |
| Provider Name | Fe Socorro D Velez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386749950 PECOS PAC ID: 0749288462 Enrollment ID: I20061113000346 |
| Provider Name | John K Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316012545 PECOS PAC ID: 7911907308 Enrollment ID: I20070109000315 |
| Provider Name | Justin B Rich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699743211 PECOS PAC ID: 8729189865 Enrollment ID: I20070719000604 |
| Provider Name | Haskell H Murray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871798074 PECOS PAC ID: 1254432131 Enrollment ID: I20070723000080 |
| Provider Name | Mike Difrakhsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689776379 PECOS PAC ID: 2163513169 Enrollment ID: I20070806000445 |
| Provider Name | Wilfredo Bernardo Clavecilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790908507 PECOS PAC ID: 5496787426 Enrollment ID: I20071126000043 |
| Provider Name | Tima Y Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467641068 PECOS PAC ID: 6204919368 Enrollment ID: I20080212000672 |
| Provider Name | Tarra D Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790957868 PECOS PAC ID: 2567533862 Enrollment ID: I20080613000221 |
| Provider Name | Bradley James Dale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689622664 PECOS PAC ID: 2567507049 Enrollment ID: I20100309000190 |
| Provider Name | Steven A Baptiste |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710187083 PECOS PAC ID: 9234261793 Enrollment ID: I20100719000571 |
| Provider Name | Brandis K Montgomery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649423849 PECOS PAC ID: 9032270368 Enrollment ID: I20101013000051 |
| Provider Name | Ken James Whitlow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417006826 PECOS PAC ID: 1254527625 Enrollment ID: I20101124000388 |
| Provider Name | Kelly Abbott Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922233246 PECOS PAC ID: 7517149461 Enrollment ID: I20110314000606 |
| Provider Name | Erica Danielle Franks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386809465 PECOS PAC ID: 9133302110 Enrollment ID: I20110329000559 |
| Provider Name | Clifford L Steagall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487726949 PECOS PAC ID: 5193987956 Enrollment ID: I20120424000693 |
| Provider Name | Katherine Rebecca Hicks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780824698 PECOS PAC ID: 3870741655 Enrollment ID: I20120920000231 |
| Provider Name | Yolanda Alfreda Washington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407081664 PECOS PAC ID: 8628226644 Enrollment ID: I20121025000080 |
| Provider Name | Sanjay K Reddy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801864384 PECOS PAC ID: 1456351162 Enrollment ID: I20121105000140 |
| Provider Name | Nicole S Bronner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376822411 PECOS PAC ID: 6305097304 Enrollment ID: I20121126000381 |
| Provider Name | Elizabeth A Herlihy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063756534 PECOS PAC ID: 6305099045 Enrollment ID: I20130109000304 |
| Provider Name | Corey D Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427229632 PECOS PAC ID: 1456505510 Enrollment ID: I20130128000007 |
| Provider Name | Jessica G Saunders |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245513423 PECOS PAC ID: 3577701846 Enrollment ID: I20130528000228 |
| Provider Name | Allison May Kuzma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114364981 PECOS PAC ID: 6800036559 Enrollment ID: I20130701000675 |
| Provider Name | Antonio T Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477577484 PECOS PAC ID: 6406096411 Enrollment ID: I20130715000462 |
| Provider Name | Nia I Evans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992066013 PECOS PAC ID: 6305071408 Enrollment ID: I20131025001606 |
| Provider Name | Claire Marie Yurko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104257179 PECOS PAC ID: 9335377928 Enrollment ID: I20140103000864 |
| Provider Name | Ashley Currie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245565035 PECOS PAC ID: 9931339736 Enrollment ID: I20140222000077 |
| Provider Name | Jana Alexandria Lane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679994230 PECOS PAC ID: 6406086701 Enrollment ID: I20140306001515 |
| Provider Name | Bryan S Odakura |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689073249 PECOS PAC ID: 2567786775 Enrollment ID: I20150116001709 |
| Provider Name | Bita Shahidi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629095286 PECOS PAC ID: 6800990896 Enrollment ID: I20150218001514 |
| Provider Name | Michael Cody Malone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174863641 PECOS PAC ID: 7214258219 Enrollment ID: I20150602002939 |
| Provider Name | Penny Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730377169 PECOS PAC ID: 2860464187 Enrollment ID: I20151014003415 |
| Provider Name | Jennifer Danielle Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811363617 PECOS PAC ID: 3375843774 Enrollment ID: I20151207001968 |
| Provider Name | Megan Hixson Lingerfelt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275976219 PECOS PAC ID: 9436390168 Enrollment ID: I20151211001276 |
| Provider Name | Winslow Ann Rumph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780052324 PECOS PAC ID: 7012218159 Enrollment ID: I20151215002295 |
| Provider Name | Raakhee N Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144687724 PECOS PAC ID: 8729383518 Enrollment ID: I20160216001018 |
| Provider Name | Lauren Elizabeth Mccullough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336557453 PECOS PAC ID: 9234435298 Enrollment ID: I20160317000678 |
| Provider Name | John Reed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861701054 PECOS PAC ID: 1658670781 Enrollment ID: I20160425000958 |
| Provider Name | Deitra Yvette Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306250824 PECOS PAC ID: 5092014662 Enrollment ID: I20160503001462 |
| Provider Name | Roland Orvil Webster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881147411 PECOS PAC ID: 4587959960 Enrollment ID: I20160824001694 |
| Provider Name | Laura Elizabeth James |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821543158 PECOS PAC ID: 7012202112 Enrollment ID: I20160829002326 |
| Provider Name | Jennifer Busbee Hunt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790854461 PECOS PAC ID: 5193012789 Enrollment ID: I20160926001282 |
| Provider Name | Jessica Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497163471 PECOS PAC ID: 5991092470 Enrollment ID: I20160927002107 |
| Provider Name | Brandi Dotson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699222091 PECOS PAC ID: 5294023594 Enrollment ID: I20161019000235 |
| Provider Name | Chereny Woodard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447637459 PECOS PAC ID: 5294013892 Enrollment ID: I20161102002207 |
| Provider Name | Brooke Nicole Dennis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790229698 PECOS PAC ID: 4981985280 Enrollment ID: I20161228001475 |
| Provider Name | John B Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689001927 PECOS PAC ID: 1355624057 Enrollment ID: I20170202002221 |
| Provider Name | Sarah Regina Cooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134667124 PECOS PAC ID: 5597049569 Enrollment ID: I20170313000538 |
| Provider Name | Kristen Elaine Fraley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972045730 PECOS PAC ID: 4981972403 Enrollment ID: I20170623001985 |
| Provider Name | Jihwan Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578010815 PECOS PAC ID: 6608147350 Enrollment ID: I20170731000783 |
| Provider Name | Hannah Rebecca Goesch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891223772 PECOS PAC ID: 4789955899 Enrollment ID: I20170808003432 |
| Provider Name | Tisheeka Patricia Evans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720395981 PECOS PAC ID: 1850569732 Enrollment ID: I20170809001979 |
| Provider Name | Anzika Tuliva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043685035 PECOS PAC ID: 5193029957 Enrollment ID: I20171023002016 |
| Provider Name | Marc David Herbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912426875 PECOS PAC ID: 8729333919 Enrollment ID: I20180611002883 |
| Provider Name | Akilah S. Blaylock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326244856 PECOS PAC ID: 2163677238 Enrollment ID: I20180705002579 |
| Provider Name | Berkeley Van Dyke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407363328 PECOS PAC ID: 0244581114 Enrollment ID: I20180917001902 |
| Provider Name | Carly Welch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215420211 PECOS PAC ID: 2769735307 Enrollment ID: I20181029000417 |
| Provider Name | Adrienne Marie Colman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558850107 PECOS PAC ID: 1658624267 Enrollment ID: I20181030000015 |
| Provider Name | Michelle Diane Dawson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184104523 PECOS PAC ID: 2264786110 Enrollment ID: I20181113002802 |
| Provider Name | Samuel Chukwuma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679053805 PECOS PAC ID: 8022352525 Enrollment ID: I20181211001820 |
| Provider Name | Clayton O Carroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114404589 PECOS PAC ID: 2961748942 Enrollment ID: I20190111001915 |
| Provider Name | Sara O Stachura |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801937776 PECOS PAC ID: 6305183591 Enrollment ID: I20190125001776 |
| Provider Name | Alicia Loraine Gregg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497099204 PECOS PAC ID: 2567709785 Enrollment ID: I20190125002747 |
| Provider Name | Crystal Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548729221 PECOS PAC ID: 5698017721 Enrollment ID: I20190422000495 |
| Provider Name | Karen Reeves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740730019 PECOS PAC ID: 4284976846 Enrollment ID: I20190430002648 |
| Provider Name | Mary Katherine Meeker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376067702 PECOS PAC ID: 9830456656 Enrollment ID: I20190528001511 |
| Provider Name | Alyssa L Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295137032 PECOS PAC ID: 2769721364 Enrollment ID: I20190917001768 |
| Provider Name | Jean Marie Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134772510 PECOS PAC ID: 3173852142 Enrollment ID: I20190917002326 |
| Provider Name | Domonique Maharath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730735820 PECOS PAC ID: 4789914094 Enrollment ID: I20190930003338 |
| Provider Name | Eric Ryan Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043867401 PECOS PAC ID: 3779814710 Enrollment ID: I20191007000595 |
| Provider Name | John Michael Funnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164070751 PECOS PAC ID: 0840521704 Enrollment ID: I20191008002986 |
| Provider Name | Michael James Mangiarelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922521228 PECOS PAC ID: 4789956913 Enrollment ID: I20191014001872 |
| Provider Name | Diana Gonzalez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306191382 PECOS PAC ID: 0143552380 Enrollment ID: I20191021003493 |
| Provider Name | Mylah Garlington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306970850 PECOS PAC ID: 5890896104 Enrollment ID: I20191022001790 |
| Provider Name | Amanda Stentiford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871812503 PECOS PAC ID: 0345372876 Enrollment ID: I20191028000005 |
| Provider Name | Kiara C Key |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497185300 PECOS PAC ID: 6002148376 Enrollment ID: I20191106001461 |
| Provider Name | Andrew Chetcutti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710535919 PECOS PAC ID: 8022441419 Enrollment ID: I20191125001466 |
| Provider Name | Russell Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174172811 PECOS PAC ID: 9335470806 Enrollment ID: I20200124000015 |
| Provider Name | Alexander Reynolds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720466048 PECOS PAC ID: 5890118509 Enrollment ID: I20200713003148 |
| Provider Name | Shantia Warren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700249687 PECOS PAC ID: 0446675581 Enrollment ID: I20200805003489 |
| Provider Name | Ellen Pye |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013527126 PECOS PAC ID: 3577989342 Enrollment ID: I20200812000000 |
| Provider Name | Matthew Jacobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992161178 PECOS PAC ID: 9830516947 Enrollment ID: I20200902003565 |
| Provider Name | Nicole Turvey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447897764 PECOS PAC ID: 9638597628 Enrollment ID: I20200915002152 |
| Provider Name | Brandy Brashelle Golden |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013364835 PECOS PAC ID: 4587082755 Enrollment ID: I20200921001247 |
| Provider Name | Jordan Gaillard Kareis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720556624 PECOS PAC ID: 2466783832 Enrollment ID: I20200922001078 |
| Provider Name | Amber Rose Steele |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841800638 PECOS PAC ID: 1951729045 Enrollment ID: I20200922003058 |
| Provider Name | Natalie Mae Espinoza-hensley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871105890 PECOS PAC ID: 1557780038 Enrollment ID: I20201001003469 |
| Provider Name | Sharlene Vanessa Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336663103 PECOS PAC ID: 7810317245 Enrollment ID: I20201023000000 |
| Provider Name | Gregory J Kareis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245888999 PECOS PAC ID: 9830429075 Enrollment ID: I20201027002863 |
| Provider Name | Jonathan Joseph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992317952 PECOS PAC ID: 7911317128 Enrollment ID: I20201029000237 |
| Provider Name | Darius Gonzalez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063013449 PECOS PAC ID: 0941610455 Enrollment ID: I20201111001476 |
| Provider Name | Nicholas Holley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942802558 PECOS PAC ID: 7214348101 Enrollment ID: I20201125000774 |
| Provider Name | Javis Duncan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023613197 PECOS PAC ID: 6002228061 Enrollment ID: I20201215002966 |
| Provider Name | Kelsey Susanne Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669029567 PECOS PAC ID: 6507278579 Enrollment ID: I20201216000119 |
| Provider Name | Brittany Velez White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437764677 PECOS PAC ID: 3072926302 Enrollment ID: I20210106001141 |
| Provider Name | Laura Margaret Giles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275022345 PECOS PAC ID: 5395158117 Enrollment ID: I20210114002951 |
| Provider Name | Clennysha Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669071155 PECOS PAC ID: 3476967852 Enrollment ID: I20210126001756 |
| Provider Name | Kala Janelle Faulkner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609477413 PECOS PAC ID: 7911311246 Enrollment ID: I20210128001226 |
| Provider Name | Mariah Brianna Gamble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417559170 PECOS PAC ID: 7810303690 Enrollment ID: I20210302001633 |
| Provider Name | Victoria Ivens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629581129 PECOS PAC ID: 1153689724 Enrollment ID: I20210401001477 |
| Provider Name | Michael Steven Barnes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285644435 PECOS PAC ID: 3779640982 Enrollment ID: I20210408001529 |
| Provider Name | Hans F Rice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306337621 PECOS PAC ID: 0244575090 Enrollment ID: I20210426002336 |
| Provider Name | Aaron Jarrod Bingham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992307656 PECOS PAC ID: 1456763036 Enrollment ID: I20210503002701 |
| Provider Name | Clarissa Michel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003409673 PECOS PAC ID: 7719396233 Enrollment ID: I20210512001825 |
| Provider Name | Bradley Mannone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447377957 PECOS PAC ID: 6002215480 Enrollment ID: I20210604002728 |
| Provider Name | Leslie Smart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275117681 PECOS PAC ID: 0143620336 Enrollment ID: I20210609001869 |
| Provider Name | Sandra L Malecki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790958155 PECOS PAC ID: 7517367675 Enrollment ID: I20210610001361 |
| Provider Name | Brianna Deshai Lakes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891362802 PECOS PAC ID: 5698175560 Enrollment ID: I20210615000314 |
| Provider Name | Whitney Nicole Swanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770716326 PECOS PAC ID: 5991106874 Enrollment ID: I20210629003310 |
| Provider Name | Kathryn Mosteller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003484791 PECOS PAC ID: 5799186615 Enrollment ID: I20210630000528 |
| Provider Name | Jouan Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881174829 PECOS PAC ID: 4486906922 Enrollment ID: I20210706001414 |
| Provider Name | Diana Elaine Flegel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982924551 PECOS PAC ID: 0941603286 Enrollment ID: I20210726000478 |
| Provider Name | Mesha Mainor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427506948 PECOS PAC ID: 6608829304 Enrollment ID: I20210803001471 |
| Provider Name | Ashleigh A Tompa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548838386 PECOS PAC ID: 8426452673 Enrollment ID: I20210810001666 |
| Provider Name | Janelle Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649727371 PECOS PAC ID: 4789089889 Enrollment ID: I20210827002194 |
| Provider Name | Quinton Tyler Buckner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942974654 PECOS PAC ID: 8729484696 Enrollment ID: I20210901003046 |
| Provider Name | Daniel Hwang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396413480 PECOS PAC ID: 2961808449 Enrollment ID: I20210908003538 |
| Provider Name | Jasmine Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063189942 PECOS PAC ID: 1052717485 Enrollment ID: I20210909001548 |
| Provider Name | Denise Moten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295409878 PECOS PAC ID: 3779980826 Enrollment ID: I20210916001607 |
| Provider Name | Alexis Nicole Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093484313 PECOS PAC ID: 8820495815 Enrollment ID: I20210917000578 |
| Provider Name | Nicholas Hayden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831865625 PECOS PAC ID: 5698172161 Enrollment ID: I20210927000584 |
| Provider Name | Christina Diggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295292555 PECOS PAC ID: 9537567714 Enrollment ID: I20211004001038 |
| Provider Name | Alexxis Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720755838 PECOS PAC ID: 0143628263 Enrollment ID: I20211004002923 |
| Provider Name | Saeed Andrew Sayegh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164098927 PECOS PAC ID: 1153729066 Enrollment ID: I20211007000778 |
| Provider Name | Hyoyoung Jang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982370540 PECOS PAC ID: 1850799784 Enrollment ID: I20211007001392 |
| Provider Name | Karen Heffron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235801051 PECOS PAC ID: 2365830577 Enrollment ID: I20211020002132 |
| Provider Name | Jenee Brewster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548932114 PECOS PAC ID: 6406244326 Enrollment ID: I20211026003137 |
| Provider Name | Pamela Robinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407298508 PECOS PAC ID: 2062800618 Enrollment ID: I20211101001155 |
| Provider Name | Lisa Gail Gruensfelder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649270570 PECOS PAC ID: 7113316241 Enrollment ID: I20211111001181 |
| Provider Name | Sheri Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679756209 PECOS PAC ID: 6002205952 Enrollment ID: I20211115001441 |
| Provider Name | Isaiah Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528725835 PECOS PAC ID: 2860882321 Enrollment ID: I20211124001376 |
| Provider Name | Tracy Aifuwa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023664075 PECOS PAC ID: 0042600207 Enrollment ID: I20211201002194 |
| Provider Name | Gretchen Angelique Lehane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518410570 PECOS PAC ID: 9830589647 Enrollment ID: I20211210000961 |
| Provider Name | Clinton Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356408330 PECOS PAC ID: 6204845241 Enrollment ID: I20211213002138 |
| Provider Name | Kristen Patterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841574902 PECOS PAC ID: 0749670347 Enrollment ID: I20211213002531 |
| Provider Name | Anna Glowcheski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568129583 PECOS PAC ID: 6204227127 Enrollment ID: I20220103000203 |
| Provider Name | Elaine E Sha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659595999 PECOS PAC ID: 6406247360 Enrollment ID: I20220103002055 |
| Provider Name | Rebecca Styles Sawyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609318799 PECOS PAC ID: 7113319724 Enrollment ID: I20220111001950 |
| Provider Name | Rene C Andrews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639295413 PECOS PAC ID: 5092108894 Enrollment ID: I20220131000002 |
| Provider Name | Andrea Bryant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275798415 PECOS PAC ID: 8022401298 Enrollment ID: I20220210001857 |
| Provider Name | Emily Maria Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083366165 PECOS PAC ID: 2860885811 Enrollment ID: I20220215001968 |
| Provider Name | Corinne Piotrowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689895070 PECOS PAC ID: 9537553482 Enrollment ID: I20220218001729 |
| Provider Name | Alisen Laraine Robbins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144851841 PECOS PAC ID: 8224422928 Enrollment ID: I20220223000527 |
| Provider Name | Adam Hampton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306599204 PECOS PAC ID: 0446644801 Enrollment ID: I20220301000005 |
| Provider Name | Lucia Rodriguez Vargas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427488386 PECOS PAC ID: 3274807532 Enrollment ID: I20220307001969 |
| Provider Name | Brett P Fountain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568099414 PECOS PAC ID: 1355736265 Enrollment ID: I20220311000097 |
| Provider Name | Averie Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114692142 PECOS PAC ID: 3375938012 Enrollment ID: I20220316003056 |
| Provider Name | Brooke Adler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437509601 PECOS PAC ID: 5597150730 Enrollment ID: I20220324002144 |
| Provider Name | Anne Marie Sheridan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023687035 PECOS PAC ID: 4688060387 Enrollment ID: I20220406000539 |
| Provider Name | Garrett M Burr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114694155 PECOS PAC ID: 0648666008 Enrollment ID: I20220412000518 |
| Provider Name | Kevin Bernard Tolbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487269353 PECOS PAC ID: 8921494329 Enrollment ID: I20220412002386 |
| Provider Name | Anthony Franco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205449055 PECOS PAC ID: 7315333580 Enrollment ID: I20220415001120 |
| Provider Name | Marie Angeline Escalona Hudson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891042065 PECOS PAC ID: 9436545621 Enrollment ID: I20220418000078 |
| Provider Name | Bridgette Mckay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629518386 PECOS PAC ID: 1951679422 Enrollment ID: I20220418002471 |
| Provider Name | Andres Fernandez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659027423 PECOS PAC ID: 1850788944 Enrollment ID: I20220419002518 |
| Provider Name | Daniel Vapne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114562170 PECOS PAC ID: 5395132435 Enrollment ID: I20220420001204 |
| Provider Name | Kimmi M Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598211625 PECOS PAC ID: 7113314881 Enrollment ID: I20220427001761 |
| Provider Name | Aaron Alexander Strong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134385263 PECOS PAC ID: 7810374527 Enrollment ID: I20220519000223 |
| Provider Name | Kay Strong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356091466 PECOS PAC ID: 6800275934 Enrollment ID: I20220621002381 |
| Provider Name | Jill Fernandez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871814244 PECOS PAC ID: 0143609180 Enrollment ID: I20220621002928 |
| Provider Name | Lindsey M Lequier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518606524 PECOS PAC ID: 7113307703 Enrollment ID: I20220628003557 |
| Provider Name | Erica C Dekle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427797232 PECOS PAC ID: 4981084704 Enrollment ID: I20220711000292 |
| Provider Name | Mark E. Shoch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578631354 PECOS PAC ID: 6709028897 Enrollment ID: I20220714001664 |
| Provider Name | Peter Chrysosferidis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700552072 PECOS PAC ID: 8022414952 Enrollment ID: I20220722002754 |
| Provider Name | Melissa Centofante |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760901482 PECOS PAC ID: 6103208830 Enrollment ID: I20220727004097 |
| Provider Name | Christine Manella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972714129 PECOS PAC ID: 8527440684 Enrollment ID: I20220805001307 |
| Provider Name | Carrie Ellison Rampy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427014257 PECOS PAC ID: 9032592415 Enrollment ID: I20220817003144 |
| Provider Name | Mikayla Trombley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780302547 PECOS PAC ID: 1557745536 Enrollment ID: I20220825002871 |
| Provider Name | Nicolo Ginsburg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871650143 PECOS PAC ID: 0941390165 Enrollment ID: I20220829001978 |
| Provider Name | Anna Lynch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043791742 PECOS PAC ID: 5991034407 Enrollment ID: I20220901001812 |
| Provider Name | Jamila A Holmes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598832883 PECOS PAC ID: 2860876208 Enrollment ID: I20220901003538 |
| Provider Name | Jessica N Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427776871 PECOS PAC ID: 5991189284 Enrollment ID: I20220906002353 |
| Provider Name | Marivic Lucena Diego |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720737885 PECOS PAC ID: 5395129597 Enrollment ID: I20220907004038 |
| Provider Name | Verna Stoner-frazier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548746829 PECOS PAC ID: 9234514076 Enrollment ID: I20220915001138 |
| Provider Name | Kerith Adler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649408022 PECOS PAC ID: 6709924434 Enrollment ID: I20220917000035 |
| Provider Name | Kristina Lisa Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932799533 PECOS PAC ID: 6709261126 Enrollment ID: I20220920003188 |
| Provider Name | Corey E Klein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497164305 PECOS PAC ID: 7214312453 Enrollment ID: I20220923001803 |
| Provider Name | Dominique Bellardini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285361576 PECOS PAC ID: 9436534609 Enrollment ID: I20220924000015 |
| Provider Name | Khadesha Quammie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316662992 PECOS PAC ID: 7214303353 Enrollment ID: I20221014001604 |
| Provider Name | Matthew Iredia Ebalu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700546256 PECOS PAC ID: 0345617197 Enrollment ID: I20221108000139 |
| Provider Name | Alexus Colemon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497472880 PECOS PAC ID: 6305214636 Enrollment ID: I20221117002195 |
| Provider Name | Malwin A Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396466371 PECOS PAC ID: 3870961014 Enrollment ID: I20221121000257 |
| Provider Name | Sydney Margaret Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962908509 PECOS PAC ID: 0840668935 Enrollment ID: I20221121002452 |
| Provider Name | Olayiwola Oyekanmi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023551199 PECOS PAC ID: 6103108261 Enrollment ID: I20221129001531 |
| Provider Name | Keelan Ohara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801420062 PECOS PAC ID: 6305274317 Enrollment ID: I20221214000717 |
| Provider Name | Diamond Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447761119 PECOS PAC ID: 0143567438 Enrollment ID: I20221214001793 |
| Provider Name | Michael Chase Montague |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326697343 PECOS PAC ID: 0648640391 Enrollment ID: I20221221002399 |
| Provider Name | Stephnie Wedderburn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124202494 PECOS PAC ID: 1557731239 Enrollment ID: I20221222000568 |
| Provider Name | Robert Curbelo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962584169 PECOS PAC ID: 9739559311 Enrollment ID: I20221222000974 |
| Provider Name | Trinity Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295447530 PECOS PAC ID: 0345610853 Enrollment ID: I20221227002257 |
| Provider Name | Carolyn Girard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205281201 PECOS PAC ID: 4385014497 Enrollment ID: I20230106001129 |
| Provider Name | Clifford Civil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427483825 PECOS PAC ID: 3870717937 Enrollment ID: I20230109001095 |
| Provider Name | Katherine A Hamblin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972083129 PECOS PAC ID: 7810384575 Enrollment ID: I20230113002427 |
| Provider Name | Kevin Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205309739 PECOS PAC ID: 0749528909 Enrollment ID: I20230118001813 |
| Provider Name | Ramona Dickey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740907567 PECOS PAC ID: 5294106464 Enrollment ID: I20230126000201 |
| Provider Name | Kaitlyn Rose Elliott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902453582 PECOS PAC ID: 0749651693 Enrollment ID: I20230201000267 |
| Provider Name | Jignesh Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528682457 PECOS PAC ID: 0244601110 Enrollment ID: I20230201001468 |
| Provider Name | Jaliyah B Josiah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952010902 PECOS PAC ID: 6507238185 Enrollment ID: I20230208000080 |
| Provider Name | Raymond Eralino Padilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508593799 PECOS PAC ID: 7315319324 Enrollment ID: I20230220001853 |
| Provider Name | Alana Laguerre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972962108 PECOS PAC ID: 7517330400 Enrollment ID: I20230223000930 |
| Provider Name | Carmen N Moon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982112744 PECOS PAC ID: 0749519510 Enrollment ID: I20230301002181 |
| Provider Name | Megan Robison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376243311 PECOS PAC ID: 1951775659 Enrollment ID: I20230321000489 |
| Provider Name | Matthew Reuschle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962000257 PECOS PAC ID: 9234504499 Enrollment ID: I20230331001905 |
| Provider Name | Samuel Jehun Huh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396462768 PECOS PAC ID: 3476928532 Enrollment ID: I20230404001156 |
| Provider Name | Lori Reethof |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104459205 PECOS PAC ID: 2163897802 Enrollment ID: I20230411000198 |
| Provider Name | Jaden Yoo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467066654 PECOS PAC ID: 7012314263 Enrollment ID: I20230411002437 |
| Provider Name | Simone Riina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326565284 PECOS PAC ID: 3375886823 Enrollment ID: I20230418002995 |
| Provider Name | Eybriunna Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316650161 PECOS PAC ID: 1153786322 Enrollment ID: I20230424001847 |
| Provider Name | Megan Franicsco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861145815 PECOS PAC ID: 6406211580 Enrollment ID: I20230424003097 |
| Provider Name | Lakee'dra Charmane Cooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801598206 PECOS PAC ID: 2961868336 Enrollment ID: I20230510002110 |
| Provider Name | Leanne South |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871077974 PECOS PAC ID: 5890033971 Enrollment ID: I20230602000373 |
| Provider Name | Andrea Kanar Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396824652 PECOS PAC ID: 1254798176 Enrollment ID: I20230608001919 |
| Provider Name | Briana Parsons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043991193 PECOS PAC ID: 7517328867 Enrollment ID: I20230802002498 |
| Provider Name | Jody Skyers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346583903 PECOS PAC ID: 0042672297 Enrollment ID: I20230821000220 |
| Provider Name | Aruna Jyothi Maddela |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144005646 PECOS PAC ID: 5597129320 Enrollment ID: I20230913000944 |
| Provider Name | Jonathan Hardy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841703691 PECOS PAC ID: 0941607667 Enrollment ID: I20231010001916 |
| Provider Name | Eric Brodey Wertz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912404245 PECOS PAC ID: 2466807003 Enrollment ID: I20231017001290 |
| Provider Name | Kylie Odparlik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578292827 PECOS PAC ID: 1254710601 Enrollment ID: I20231018002750 |
| Provider Name | Paul Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871379743 PECOS PAC ID: 5395191845 Enrollment ID: I20231019002999 |
| Provider Name | Jennifer Lavalle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154702637 PECOS PAC ID: 2860848322 Enrollment ID: I20231019003445 |
| Provider Name | Hina Javed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174007009 PECOS PAC ID: 5294135695 Enrollment ID: I20231020002840 |
| Provider Name | Sujata Y Jarugula |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942981717 PECOS PAC ID: 2961859418 Enrollment ID: I20231106002183 |
| Provider Name | Tasia Robertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578045324 PECOS PAC ID: 9537496773 Enrollment ID: I20231113000868 |
| Provider Name | Brandon Gallagher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811575707 PECOS PAC ID: 4587072079 Enrollment ID: I20231116003416 |
| Provider Name | Chelsea Hamric |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962990580 PECOS PAC ID: 5698020121 Enrollment ID: I20231117002616 |
| Provider Name | Raymond Alan Waters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568139558 PECOS PAC ID: 0244688711 Enrollment ID: I20231121002724 |
| Provider Name | Shelby Scheidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316728488 PECOS PAC ID: 8325496268 Enrollment ID: I20231202000395 |
| Provider Name | Oladipupo Ayodele Dada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376227413 PECOS PAC ID: 7810346186 Enrollment ID: I20231212001670 |
| Provider Name | Remington Mcrae |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740900737 PECOS PAC ID: 9133579683 Enrollment ID: I20231222002819 |
| Provider Name | Marissa Speno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487085007 PECOS PAC ID: 2961631320 Enrollment ID: I20240222001262 |
| Provider Name | Courtney Roberta Weston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134377492 PECOS PAC ID: 7517320856 Enrollment ID: I20240301001805 |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Luna Care Physical Therapy Llc Po Box 2350, Rocklin, CA 95677-8350 Ph: (650) 867-0522 | Georgia Luna Care Physical Therapy Llc 504 Everett St, St Simons Is, GA 31522-4605 Ph: (877) 839-6979 |
David Terrell Stahler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 Retreat Vlg, St Simons Is, GA 31522 Phone: 912-638-1444 | |
Trinity Martin, Physical Therapist Medicare: Medicare Enrolled Practice Location: 504 Everett St, St Simons Is, GA 31522 Phone: 866-839-6979 | |
Julia Anne Casey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 504 Everett St, St Simons Is, GA 31522 Phone: 866-839-6979 | |
Khadesha Quammie, Physical Therapist Medicare: Medicare Enrolled Practice Location: 504 Everett St, St Simons Is, GA 31522 Phone: 866-839-6979 | |
Kay Strong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 504 Everett St, St Simons Is, GA 31522 Phone: 866-839-6979 Fax: 916-913-5646 | |
Kari E. Kizzire, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 Retreat Vlg, St Simons Is, GA 31522 Phone: 912-638-1444 Fax: 912-638-0077 |