| Mandy G Osburn, MPT | |
|
1265 Highway 54 W, Suite 102 & 308, Fayetteville, GA 30214-4548 | |
| (770) 460-1900 | |
| (770) 719-1214 |
| Full Name | Mandy G Osburn |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1265 Highway 54 W, 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 |
|---|---|---|---|
| 1710248901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT007788 (Georgia) | Secondary |
| 225100000X | Physical Therapist | PT007788 (Georgia) | Primary |
| Provider Name | Tx Team Rehab Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396795142 PECOS PAC ID: 1759288087 Enrollment ID: O20160331000728 |
| Provider Name | Fox Rehabilitation Ga, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023544624 PECOS PAC ID: 6800162298 Enrollment ID: O20171031001120 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandy G Osburn, MPT 900 Circle 75 Pkwy Se, Suite 1700, Atlanta, GA 30339-3035 Ph: (770) 953-6929 | Mandy G Osburn, MPT 1265 Highway 54 W, Suite 102 & 308, Fayetteville, GA 30214-4548 Ph: (770) 460-1900 |
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 | |
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 | |
Emily Shiflett, Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 Lanier Ave W Ste 303, Fayetteville, GA 30214 Phone: 770-716-8885 |