| Jacob Benjamin Stewart, DPT, PT | |
|
7423 Adairsville Hwy, Adairsville, GA 30103-2014 | |
| (770) 773-9315 | |
| (770) 773-9317 |
| Full Name | Jacob Benjamin Stewart |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 7423 Adairsville Hwy, Adairsville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972350783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT017297 (Georgia) | Primary |
| Provider Name | Advance Rehabilitation & Consulting Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235434283 PECOS PAC ID: 4082890645 Enrollment ID: O20110609000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Benjamin Stewart, DPT, PT Po Box 949, Rome, GA 30162-0949 Ph: (770) 773-9315 | Jacob Benjamin Stewart, DPT, PT 7423 Adairsville Hwy, Adairsville, GA 30103-2014 Ph: (770) 773-9315 |
Jonathan Andrew Purser, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7423 Adairsville Hwy, Adairsville, GA 30103 Phone: 770-773-9315 Fax: 770-773-9317 | |
Aaron Joshua Cole, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7423 Adairsville Hwy, Adairsville, GA 30103 Phone: 770-773-9315 Fax: 770-773-9317 | |
Hope Sampson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7423 Adairsville Hwy, Adairsville, GA 30103 Phone: 770-773-9315 | |
Daniel Tari, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7423 Adairsville Hwy, Adairsville, GA 30103 Phone: 770-773-9315 Fax: 770-773-9317 |