| Lara E Betz, PT | |
|
1711 Martha Berry Blvd Nw, Rome, GA 30165-1623 | |
| (706) 528-4207 | |
| Not Available |
| Full Name | Lara E Betz |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1711 Martha Berry Blvd Nw, Rome, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205832599 | NPI | - | NPPES |
| 700068640A | Medicaid | GA | |
| P00359215 | Other | GA | RR MEDICARE |
| 700068640H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT008282 (Georgia) | Primary |
| Provider Name | Performance Physical Therapy & Sports Medicine Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871738872 PECOS PAC ID: 8426112137 Enrollment ID: O20090126000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Lara E Betz, PT Po Box 504, Rome, GA 30162-0504 Ph: (706) 291-1780 | Lara E Betz, PT 1711 Martha Berry Blvd Nw, Rome, GA 30165-1623 Ph: (706) 528-4207 |
Marius Florin Bodiu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Turner Mccall Blvd Nw, Rome, GA 30165 Phone: 706-235-2727 Fax: 706-235-2726 | |
Buffy D Crenshaw, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Turner Mccall Blvd Nw, Rome, GA 30165 Phone: 706-236-2758 Fax: 706-802-1408 | |
Mr. Steven John Wright, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3870 Martha Berry Hwy Ne, Rome, GA 30165 Phone: 706-378-3124 | |
Tucker Chiropractic-rome Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Shorter Ave Nw, Rome, GA 30165 Phone: 706-290-0408 Fax: 706-290-0470 | |
Kimberly H Reynolds, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E 6th Ave, Rome, GA 30161 Phone: 706-378-9044 Fax: 706-378-9046 | |
Erin Green Pollock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 Shorter Ave Nw, Rome, GA 30165 Phone: 706-235-2727 Fax: 706-235-2726 | |
Ryan Blake Cheeley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Turner Mccall Blvd Nw, Rome, GA 30165 Phone: 706-236-2758 Fax: 706-802-1408 |