| Shelby Kay Vandeberghe, PT, DPT | |
|
3007 Panola Rd Ste C, Lithonia, GA 30038-2492 | |
| (770) 987-1122 | |
| (770) 987-1149 |
| Full Name | Shelby Kay Vandeberghe |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 3007 Panola Rd Ste C, Lithonia, Georgia |
| 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 |
|---|---|---|---|
| 1164947909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT013009 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Physical Therapy, Llc | 1153382676 | 70 |
| Provider Name | Independent Physical Therapy Of Georgia Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
| Provider Name | Emory Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776 |
| Provider Name | Benchmark Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Kay Vandeberghe, PT, DPT 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564 Ph: (423) 238-7217 | Shelby Kay Vandeberghe, PT, DPT 3007 Panola Rd Ste C, Lithonia, GA 30038-2492 Ph: (770) 987-1122 |
Stephanie Marie Ravalese, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Jordan Alliah Davis, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Michelle Alade, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 | |
Ami Kirollos, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 | |
Corrine Celeste Bolles, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6000 Hillandale Dr Ste 145, Lithonia, GA 30058 Phone: 678-418-8072 Fax: 678-418-8072 | |
Alfred Alexis Balleza Miranda, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 |