Mr Ross Joseph Brakeville, DPT | |
1816 Eagle Dr, Building 100, Suite C, Woodstock, GA 30189-8272 | |
(770) 516-9191 | |
(678) 802-7377 |
Full Name | Mr Ross Joseph Brakeville |
---|---|
Gender | Male |
Speciality | Physical Therapist - Pediatrics |
Location | 1816 Eagle Dr, Woodstock, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013997139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | 002536 (Georgia) | Primary |
Provider Name | Georgia Physical Therapy & Sports Medicine Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790898617 PECOS PAC ID: 0941303028 Enrollment ID: O20070309000338 |
Mailing Address | Practice Location Address |
---|---|
Mr Ross Joseph Brakeville, DPT 1816 Eagle Dr, Building 100, Suite C, Woodstock, GA 30189-8272 Ph: (770) 516-9191 | Mr Ross Joseph Brakeville, DPT 1816 Eagle Dr, Building 100, Suite C, Woodstock, GA 30189-8272 Ph: (770) 516-9191 |
Amy Kafati, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1432 Towne Lake Pkwy, Ste 120, Woodstock, GA 30189 Phone: 678-445-9799 Fax: 678-445-2688 | |
James Peter Kwan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Matthew Payom Ayers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Giovani Velez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6236 Holly Springs Pkwy, Ste D8, Woodstock, GA 30188 Phone: 770-800-6770 | |
Scott William Lowe, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Joseph Ronald Gross, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 |