| Optima Physical Therapy Inc | |
|
808 Commerce Blvd, Suite C2, Riverdale, GA 30296-7192 | |
| (770) 994-4335 | |
| (770) 994-1559 |
| Full Name | Optima Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 808 Commerce Blvd, Riverdale, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174593222 | NPI | - | NPPES |
| 227393067A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT006105 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Optima Physical Therapy Inc 808 Commerce Blvd, Suite C2, Riverdale, GA 30296-7192 Ph: (770) 994-4335 | Optima Physical Therapy Inc 808 Commerce Blvd, Suite C2, Riverdale, GA 30296-7192 Ph: (770) 994-4335 |
Kilani K Gaston, Physical Therapist Medicare: Medicare Enrolled Practice Location: 155 Medical Way Ste A, Riverdale, GA 30274 Phone: 770-991-2747 | |
Cameron Dewitt Barham, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Medical Way, Ste E1, Riverdale, GA 30274 Phone: 770-991-2747 Fax: 770-991-1704 | |
Amber Thomas Burns, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Medical Way, Ste E1, Riverdale, GA 30274 Phone: 770-991-4747 Fax: 770-991-1704 | |
Naeema Kausar Haq, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 155 Medical Way Ste A, Riverdale, GA 30274 Phone: 770-991-2747 Fax: 770-991-1704 | |
Gentry Elizabeth Baum, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Medical Way Ste E1, Riverdale, GA 30274 Phone: 770-991-2747 Fax: 770-991-1704 | |
Erika Lea Fajman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 155 Medical Way, Ste A, Riverdale, GA 30274 Phone: 770-991-2747 Fax: 770-991-1704 |