| Legacy Orthopedic Rehab Llc | |
|
2462 Highway 34 E Ste E, Newnan, GA 30265-2378 | |
| (229) 886-7400 | |
| Not Available |
| Full Name | Legacy Orthopedic Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 2462 Highway 34 E Ste E, Newnan, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679264659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
| Provider Name | Joshua Chase Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588219695 PECOS PAC ID: 3678804325 Enrollment ID: I20191009003585 |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Orthopedic Rehab Llc 165 Hickory Hills Dr, Newnan, GA 30263-6343 Ph: (229) 886-7400 | Legacy Orthopedic Rehab Llc 2462 Highway 34 E Ste E, Newnan, GA 30265-2378 Ph: (229) 886-7400 |
Mr. Gordon B Harrison Ii, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 354 Newnan Crossing Byp, Suite 200, Newnan, GA 30265 Phone: 770-460-4747 Fax: 678-673-5102 | |
Mrs. Lauren Massey Larkey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Bullsboro Dr, Suite 3, Newnan, GA 30265 Phone: 770-251-7284 Fax: 770-251-7295 | |
Brier Rose Familleza, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2280 Highway 29 N, Newnan, GA 30265 Phone: 770-683-6904 Fax: 855-232-8604 | |
Kevin J Smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1575 Highway 34 E, Newnan, GA 30265 Phone: 770-252-5279 Fax: 770-252-9940 | |
Olayiwola Oyekanmi, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1025 Highway 34 E, Newnan, GA 30265 Phone: 352-286-7414 | |
Madison Allensworth, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1755 Highway 34 E, Newnan, GA 30265 Phone: 770-502-2175 | |
Jessica Hawkes Mann, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Lower Fayetteville Rd, Ste 2000, Newnan, GA 30265 Phone: 770-251-7284 Fax: 770-251-7295 |