| Samyukta Kappagantula, DPT | |
|
Plaza Ct, 11 Five Forks Rd Suite C, Plaza Ct, Simpsonville, SC 19681 | |
| (864) 561-9712 | |
| Not Available |
| Full Name | Samyukta Kappagantula |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 9 Years |
| Location | Plaza Ct, 11 Five Forks Rd Suite C, Simpsonville, South 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 |
|---|---|---|---|
| 1548752181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 26957 (Maryland) | Secondary |
| 225100000X | Physical Therapist | 12594 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fox Rehabilitation Services Of South Carolina, Llc | 3971639998 | 255 |
| Provider Name | Fox Rehabilitation Services Of South Carolina, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902133689 PECOS PAC ID: 3971639998 Enrollment ID: O20100330000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Samyukta Kappagantula, DPT 212 Dothan Ct, Greenville, SC 29607-6418 Ph: (864) 561-9712 | Samyukta Kappagantula, DPT Plaza Ct, 11 Five Forks Rd Suite C, Plaza Ct, Simpsonville, SC 19681 Ph: (864) 561-9712 |
Mrs. Melynda Kosmos, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Felhurst Ct, Simpsonville, SC 29681 Phone: 864-412-8900 | |
Charlotte Walter, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Allawood Ct # 110, Simpsonville, SC 29681 Phone: 864-525-2654 | |
Angela Godoy, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Allawood Ct # 110, Simpsonville, SC 29681 Phone: 864-525-2654 | |
Rosario Gomez-ochoa, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 North Maple Street Ste10, Simpsonville, SC 29681 Phone: 864-757-9846 Fax: 864-757-9847 | |
Erin Elizabeth Parmelee, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 Plantation Dr, Simpsonville, SC 29681 Phone: 864-238-2334 | |
Katelyn Elizabeth Burn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-329-8110 | |
Holly Nichole Leickel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 727 Se Main St Ste 200, Simpsonville, SC 29681 Phone: 864-454-6670 |