| Mrs Brandi R Stouder, RPT | |
|
11638 Highway 27 Ste 1, Summerville, GA 30747-8515 | |
| (706) 857-6366 | |
| (706) 857-6372 |
| Full Name | Mrs Brandi R Stouder |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 11638 Highway 27 Ste 1, Summerville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730117284 | NPI | - | NPPES |
| 515-29673 | Other | AL | BCBS OF ALABAMA |
| 051556285STO | Other | AL | PIN |
| S89453 | Other | AL | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT005657 (Georgia) | Primary |
| 225100000X | Physical Therapist | PTH3178 (Alabama) | Secondary |
| Provider Name | Drayer Physical Therapy-alabama, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023440583 PECOS PAC ID: 5395970560 Enrollment ID: O20150417000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brandi R Stouder, RPT Po Box 949, Rome, GA 30162-0949 Ph: (706) 857-6366 | Mrs Brandi R Stouder, RPT 11638 Highway 27 Ste 1, Summerville, GA 30747-8515 Ph: (706) 857-6366 |
James Thomas Espy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11638 Highway 27, Suite 1, Summerville, GA 30747 Phone: 706-857-6366 Fax: 706-857-6372 | |
James Allie, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11638 Highway 27 Ste 1, Summerville, GA 30747 Phone: 706-857-6366 Fax: 706-857-6372 |