| Westside Physical Therapy, Llc | |
|
1695 Marietta Blvd Nw, At Atlanta Ballet, Atlanta, GA 30318-3644 | |
| (404) 382-8702 | |
| (404) 492-7034 |
| Full Name | Westside Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1695 Marietta Blvd Nw, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669862769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT008407 (Georgia) | Primary |
| Provider Name | Adrianna L Nebedum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972800977 PECOS PAC ID: 4385882356 Enrollment ID: I20130603000509 |
| Provider Name | Theodore Phillip Ziaylek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235515784 PECOS PAC ID: 4183933856 Enrollment ID: I20151020000902 |
| Provider Name | Emma S Faulkner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437526274 PECOS PAC ID: 0446560064 Enrollment ID: I20151112000255 |
| Provider Name | Blake Austin Hampton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699229617 PECOS PAC ID: 8224308648 Enrollment ID: I20170718002548 |
| Provider Name | Ryan Gabriel Wilkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386195154 PECOS PAC ID: 3779832795 Enrollment ID: I20180823001556 |
| Provider Name | Kenneth Anders Wessel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467015131 PECOS PAC ID: 4082941380 Enrollment ID: I20190808003966 |
| Provider Name | Peter Huang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023607504 PECOS PAC ID: 5991112310 Enrollment ID: I20210401000817 |
| Provider Name | Paul J Yoon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912573189 PECOS PAC ID: 0042674798 Enrollment ID: I20230913002285 |
| Provider Name | Victoria Susan Wei Fan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003653528 PECOS PAC ID: 9739614900 Enrollment ID: I20241125001957 |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Physical Therapy, Llc 2444 Clairmont Rd Ne, Atlanta, GA 30329-3330 Ph: (404) 382-8702 | Westside Physical Therapy, Llc 1695 Marietta Blvd Nw, At Atlanta Ballet, Atlanta, GA 30318-3644 Ph: (404) 382-8702 |
Mrs. Joel Adrianna Bruno, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 Stovall St Se, Apt 3109, Atlanta, GA 30316 Phone: 404-719-2515 | |
Erin G Kent, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1867 Harvard Ave, Atlanta, GA 30337 Phone: 404-835-4321 Fax: 404-835-4320 | |
Taylor Morris Gayle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 860 Johnson Fy Rd Ne, Ste 100, Atlanta, GA 30342 Phone: 404-252-5545 Fax: 404-252-5511 | |
Elizabeth Ashley Smith, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 Peachtree St Ne Ste E2, Atlanta, GA 30308 Phone: 404-254-3319 | |
Spencer Edward Kasmere, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Garrett St Se Ste J, Atlanta, GA 30316 Phone: 404-624-5407 Fax: 404-624-5409 | |
Natalie Muniz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3280 Howell Mill Rd Nw Ste 303, Atlanta, GA 30327 Phone: 470-300-6030 Fax: 470-300-6031 | |
Ogoluwakitan Cal Lawanson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3200 Downwood Cir Nw Ste 700, Atlanta, GA 30327 Phone: 404-355-0743 |