| Kelly Haskell Peczka, | |
|
500 Lanier Ave W Ste 702, Fayetteville, GA 30214-7643 | |
| (413) 250-7848 | |
| Not Available |
| Full Name | Kelly Haskell Peczka |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 500 Lanier Ave W Ste 702, Fayetteville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376184101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 009203 (Georgia) | Primary |
| Provider Name | Orthoatlanta, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851937114 PECOS PAC ID: 3971406885 Enrollment ID: O20040129000005 |
| Provider Name | Piedmont Orthopedics, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114317062 PECOS PAC ID: 4385963172 Enrollment ID: O20150429000361 |
| Provider Name | Georgia Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Haskell Peczka, 376 Dingler Rd, Moreland, GA 30259-2229 Ph: (413) 250-7848 | Kelly Haskell Peczka, 500 Lanier Ave W Ste 702, Fayetteville, GA 30214-7643 Ph: (413) 250-7848 |
Mrs. Lisa Lajune Smith, PT, M.ED. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7183 Fax: 770-719-7189 | |
Mr. Ryan Christopher Yolitz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Suite 103 And 308, Fayetteville, GA 30214 Phone: 770-460-1900 Fax: 770-719-1214 | |
Mrs. Harvelyn Duncan Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1250 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7290 | |
Francis O'rourke, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 565 Banks Rd E, Fayetteville, GA 30214 Phone: 770-875-8621 | |
Drayton Thomas Perkins, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1275 Highway 54 W, Ste 200, Fayetteville, GA 30214 Phone: 770-460-8609 Fax: 770-460-8629 | |
Sarah Grace Osborne, OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1275 Highway 54 W Ste 200, Fayetteville, GA 30214 Phone: 770-460-8609 Fax: 770-460-8629 | |
Anne Marie Sheridan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 560 Grady Ave Ste C, Fayetteville, GA 30214 Phone: 770-461-6488 Fax: 770-461-5861 |