| Steven C Moore, PT | |
|
2704 N Oak St Bldg A2, Valdosta, GA 31602-5900 | |
| (229) 253-1009 | |
| (229) 253-1039 |
| Full Name | Steven C Moore |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2704 N Oak St Bldg A2, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063993632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT004835 (Georgia) | Primary |
| Provider Name | Speech And Swallowing Solutions Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346598083 PECOS PAC ID: 5597990093 Enrollment ID: O20131107001584 |
| Provider Name | Select Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20171207000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven C Moore, PT 2704 N Oak St Bldg A2, Valdosta, GA 31602-5900 Ph: (229) 253-1009 | Steven C Moore, PT 2704 N Oak St Bldg A2, Valdosta, GA 31602-5900 Ph: (229) 253-1009 |
Mrs. Anna Deloach, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 W Park Ave, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522 | |
Revajo S. Broadwater, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3537 North Crossing Circle, Valdosta, GA 31602 Phone: 229-333-0095 Fax: 229-333-0756 | |
North Valdosta Therapy Services Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4611 Tillman Bluff Rd, Valdosta, GA 31602 Phone: 229-219-0700 Fax: 229-219-0702 | |
Robertus Wolters, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3368 Greystone Way, Valdosta, GA 31605 Phone: 229-242-6670 Fax: 229-242-6671 | |
Tri-state Rehabilitation Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 W Moore St, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522 | |
Jillian Kate Holsonback, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Emory St, Valdosta, GA 31602 Phone: 229-244-1667 Fax: 229-244-8253 |