| Mr Jb Concordio Galutera Iii, PT | |
|
3921 Old Atlanta Station Dr Se, Atlanta, GA 30339-1984 | |
| (850) 766-1672 | |
| Not Available |
| Full Name | Mr Jb Concordio Galutera Iii |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3921 Old Atlanta Station Dr Se, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861894743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT29656 (Florida) | Secondary |
| 225100000X | Physical Therapist | PT011738 (Georgia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
| Provider Name | Select Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20171207000375 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jb Concordio Galutera Iii, PT 3150 Howell Mill Rd Nw, Atlanta, GA 30327-2108 Ph: (404) 351-8410 | Mr Jb Concordio Galutera Iii, PT 3921 Old Atlanta Station Dr Se, Atlanta, GA 30339-1984 Ph: (850) 766-1672 |
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 | |
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: Not Enrolled in Medicare 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 | |
Victoria Susan Wei Fan, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3280 Peachtree Rd Ne # 110b, Atlanta, GA 30305 Phone: 770-335-9796 |