| Georgia Physical Therapy & Sports Medicine Center | |
|
6495 Shiloh Rd, Suite 100, Alpharetta, GA 30005 | |
| (770) 888-3011 | |
| Not Available |
| Full Name | Georgia Physical Therapy & Sports Medicine Center |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6495 Shiloh Rd, Alpharetta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790898617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT006448 (Georgia) | Primary |
| Provider Name | Ross J Brakeville |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013997139 PECOS PAC ID: 1052369360 Enrollment ID: I20050105000087 |
| Provider Name | Chad R Luth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023027018 PECOS PAC ID: 0749190635 Enrollment ID: I20070309000397 |
| Provider Name | William P Tjaden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649328238 PECOS PAC ID: 6103854260 Enrollment ID: I20121106000396 |
| Provider Name | Kelly J Kuck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790188837 PECOS PAC ID: 8426370479 Enrollment ID: I20220921000531 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Physical Therapy & Sports Medicine Center 6495 Shiloh Rd, Suite 100, Alpharetta, GA 30005 Ph: (770) 888-3011 | Georgia Physical Therapy & Sports Medicine Center 6495 Shiloh Rd, Suite 100, Alpharetta, GA 30005 Ph: (770) 888-3011 |
Katlyn Liley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 735 N Main St Ste 1300, Alpharetta, GA 30009 Phone: 770-580-8575 Fax: 770-415-5975 | |
Carol Colburn Hicks, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10930 Carrissa Trl, Alpharetta, GA 30022 Phone: 678-699-5258 | |
Chad R Luth, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6495 Shiloh Road, Suite 100, Alpharetta, GA 30005 Phone: 770-888-3011 | |
Mrs. Trisha Marie Wameling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4125 N Point Pkwy, Alpharetta, GA 30022 Phone: 678-366-7700 Fax: 770-569-7706 | |
Independent Physical Therapy Of Ga Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 Oak Farm Drive, Suite 300, Alpharetta, GA 30005 Phone: 470-385-6555 | |
Kirk Stewart, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3155 Northpoint Pkwy, Building D, Suite 100, Alpharetta, GA 30005 Phone: 770-844-0805 | |
Leslie Gimbel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Founders Pkwy Ste 126, Alpharetta, GA 30009 Phone: 770-442-0727 Fax: 770-343-9607 |