| Kevin Sodachanh, DPT | |
|
41 Eminence Way Ste B, Pell City, AL 35128-2339 | |
| (205) 813-6009 | |
| (205) 289-2449 |
| Full Name | Kevin Sodachanh |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 41 Eminence Way Ste B, Pell City, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215619176 | NPI | - | NPPES |
| 0446631 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Alabama) | Secondary |
| 225100000X | Physical Therapist | 15195 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ati Holdings Of Alabama Llc | 2769756436 | 65 |
| Radius Pt Of Alabama Llc | 3476948951 | 7 |
| Provider Name | Ati Holdings Of Alabama Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1063952646 PECOS PAC ID: 2769756436 Enrollment ID: O20170919001462 |
| Provider Name | Radius Pt Of Alabama Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1124790480 PECOS PAC ID: 3476948951 Enrollment ID: O20220318002331 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Sodachanh, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Kevin Sodachanh, DPT 41 Eminence Way Ste B, Pell City, AL 35128-2339 Ph: (205) 813-6009 |
Zachary Forrest Mayhew, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 85 Plaza Dr, Pell City, AL 35125 Phone: 205-338-6106 | |
Cade Mullins, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 Plaza Dr, Pell City, AL 35125 Phone: 205-338-6106 | |
Tyler Mcgrady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 Plaza Dr, Pell City, AL 35125 Phone: 205-338-6106 | |
Douglas Edwin Cole, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 85 Plaza Drive, Pell City, AL 35125 Phone: 205-338-6106 Fax: 205-814-9180 | |
Eliot Reissman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 Plaza Dr, Pell City, AL 35125 Phone: 205-338-6106 | |
Hannah Davis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 Plaza Dr, Pell City, AL 35125 Phone: 205-338-6106 |