| Rachelle Kelly Porath, PT | |
|
166 Springbrook Ave Ste 201, Clayton, NC 27520-8520 | |
| (919) 535-8461 | |
| Not Available |
| Full Name | Rachelle Kelly Porath |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 25 Years |
| Location | 166 Springbrook Ave Ste 201, Clayton, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619065596 | NPI | - | NPPES |
| 650B110390 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501010799 (Michigan) | Secondary |
| 225100000X | Physical Therapist | P16594 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Activcare Physical Therapy, Llc | 8628027471 | 122 |
| Provider Name | Activcare Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548409626 PECOS PAC ID: 8628027471 Enrollment ID: O20090513000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachelle Kelly Porath, PT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: () - | Rachelle Kelly Porath, PT 166 Springbrook Ave Ste 201, Clayton, NC 27520-8520 Ph: (919) 535-8461 |
Kiersten Flynn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8838 Us Highway 70 W, Suite 300, Clayton, NC 27520 Phone: 919-550-7722 | |
Mr. Timothy Lamont Dalton, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11704 Us Highway 70 W, Clayton, NC 27520 Phone: 919-359-0955 Fax: 919-359-0985 | |
Britanee Zebrosky, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8838 Us Highway 70 W, Suite 300, Clayton, NC 27520 Phone: 919-550-7722 | |
Devyn Fletcher, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 195 Springbrook Ave, Clayton, NC 27520 Phone: 919-550-7200 | |
Erica Raene Boswell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 166 Springbrook Ave Ste 201, Clayton, NC 27520 Phone: 919-535-8461 | |
Madison Avery Sain, PT, DPT, VRS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11183 Us Hwy 70 Bus, Clayton, NC 27520 Phone: 919-912-2030 | |
Ty L Allen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 195 Springbrook Ave, Clayton, NC 27520 Phone: 919-550-7200 |