| Jordan Alliah Davis, PT, DPT | |
|
3007 Panola Rd Ste C, Lithonia, GA 30038-2492 | |
| (770) 987-1122 | |
| (770) 987-1149 |
| Full Name | Jordan Alliah Davis |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 3007 Panola Rd Ste C, Lithonia, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033726948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT014982 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dekalb Comprehensive Physical Therapy Limited Partnership | 8325059504 | 4 |
| Provider Name | Independent Physical Therapy Of Georgia Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
| Provider Name | Dekalb Comprehensive Physical Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831136951 PECOS PAC ID: 8325059504 Enrollment ID: O20060601000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Alliah Davis, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Jordan Alliah Davis, PT, DPT 3007 Panola Rd Ste C, Lithonia, GA 30038-2492 Ph: (770) 987-1122 |
Stephanie Marie Ravalese, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Michelle Alade, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 | |
Ami Kirollos, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 | |
Shelby Kay Vandeberghe, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Corrine Celeste Bolles, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6000 Hillandale Dr Ste 145, Lithonia, GA 30058 Phone: 678-418-8072 Fax: 678-418-8072 | |
Alfred Alexis Balleza Miranda, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 |