Drayer Physical Therapy Georgia LLC
Organization Active NPI Physical Therapist · Loganville, GA
NPI 1962830406 · NPPES record last updated Apr 12, 2020
Key facts
- NPI
- 1962830406
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- DRAYER PHYSICAL THERAPY GEORGIA LLC
- Practice address
- 3455 Hwy 81 South
Loganville, GA 30052-9138 - Phone
- (678) 635-8280
- Fax
- (678) 635-8285
- NPI assigned
- Oct 18, 2013
- Organization subpart
- No
Authorized official
- Name
- Bryan Barganier
- Title
- Cfo
- Phone
- (205) 536-7602
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 4
Practitioners 231
-
Genevieve Abi-Sarkis, MS. PT.
-
Ryan Thomas Albright, OTR/L
-
Matthew Bradford Allgood, PT, DPT
-
Serah Iyabode Ayoola, DPT
-
Jonathan Dean Bailey, PT, DPT
-
Ty Balty, PT, DPT
-
Steven Peter Bauernfeind, PT, DPT
-
Sara Kristi Beasley, MOT OTR/L
-
Andrew Besh, DPT
-
Andrew Brock, DPT
-
Kristen Bufkin, DPT
-
Lawrence B Cannon, PT,DPT
-
Michael Casillas, PT, DPT
-
Angela Cason, D.P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140212000668 | GA | Part B Supplier - Clinic/Group Practice | 4284863317 |
Receives reassigned benefits from 211 practitioners 2 other NPIs on this enrollment Practice locations: Covington, GA; Loganville, GA |
National Provider Directory
- Tax ID family
- Drayer Physical Therapy Georgia LLC
Locations
411 W Road 1 N
Ste A
Chino Valley, AZ 86323
Phone (928) 636-8521
290 Merchants Sq
Ste C
Dallas, GA 30132
Phone (678) 401-2303
47 Postal Pkwy
Newnan, GA 30263
Phone (770) 252-5279
611 Highway 74 S
Ste 70
Peachtree City, GA 30269
Phone (770) 632-6800
611 Highway 74 S
Peachtree City, GA 30269
Phone (770) 632-6800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
3455 Hwy 81 South
Loganville, GA 30052-9138
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8923
Other providers in Loganville, GA
- Domain Clinical Laboratory LLC
- Rachael Noelle Dombart
- Doretha Shante Donald
- Danielle Dorra Williams
- Dr. C'S Atlanta Vascular Center, LLC
- Drayer Physical Therapy Institute LLC
- Drayer Physical Therapy Institute of Ky PLLC
- Dualpath Billing and Credentialing Inc
- Dub Enterprises
- Tammie Dumas-Wilkerson
All providers in Loganville, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.