| Savannah Cooper, | |
|
1009 W Franklin St, Sylvester, GA 31791-7174 | |
| (229) 821-3892 | |
| (229) 821-3893 |
| Full Name | Savannah Cooper |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 10 Years |
| Location | 1009 W Franklin St, Sylvester, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356888309 | NPI | - | NPPES |
| PT012764 | Other | GA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT012764 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Perform Physical Therapy And Wellness Llc | 5092177980 | 2 |
| Southwest Georgia Therapy, Inc | 9830355007 | 2 |
| Provider Name | Southwest Georgia Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356406466 PECOS PAC ID: 9830355007 Enrollment ID: O20160829002396 |
| Provider Name | Perform Physical Therapy & Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1851083117 PECOS PAC ID: 5092177980 Enrollment ID: O20230809001045 |
| Mailing Address | Practice Location Address |
|---|---|
| Savannah Cooper, Po Box 846, Sylvester, GA 31791-0846 Ph: (229) 821-3892 | Savannah Cooper, 1009 W Franklin St, Sylvester, GA 31791-7174 Ph: (229) 821-3892 |
Southwest Georgia Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1009 W Franklin St, Sylvester, GA 31791 Phone: 229-821-3892 Fax: 229-821-3893 | |
Mr. William R Jenkins Jr., PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1009 W Franklin St, Sylvester, GA 31791 Phone: 229-821-3892 Fax: 229-821-3893 | |
Taylor M Fox, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 807 S Isabella St, Sylvester, GA 31791 Phone: 229-776-6961 | |
Medardo M Ramos, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Creekwood Circle, Sylvester, GA 31791 Phone: 229-349-0437 |