Domonique Shantae Beckham (NPI# 1780152272, PAC ID# 3678810587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1780152272 |
| PAC ID by PECOS | 3678810587 |
| Professional Enrollment ID | I20190131001024 |
| Full Name | Domonique Shantae Beckham |
| Organization Legal Name | INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC |
| Address |
4510 Nelson Brogdon Blvd Sugar Hill GA 30518-3478 |
| Phone Number | 7709451045 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2961312244 |
| Number of Group Practice Members | 354 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4510 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3478 | 7709451045 | INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC |
| Organization Legal Name | INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC |
| Physicians | 352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Thomas Ross | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 12050 Hwy 92, Suite 116, Woodstock, GA 30188-4287 |
| Allison Murphy Ryan | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 6361 Talokas Ln, Suite C170, Columbus, GA 31909-5648 |
| Amy Elizabeth Hill | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 2750 Chapel Hill Rd, Suite 1200, Douglasville, GA 30135-1721 |
| Nicholas A Foy | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 4510 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3478 |
| Gordon Thomas Peace | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 705 Town Blvd Ne, Suite S550, Brookhaven, GA 30319-7216 |
| Tyler James Hoek | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 590 441 Historic N Hwy E, Demorest, GA 30535-4561 |
| Morgan Camille Mcghee | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 898 Hampton Rd, Mcdonough, GA 30253-6514 |
| Spencer Edward Kasmere | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 5370 Hwy 92 530, Fairburn, GA 30213-2296 |
| Sarah Catherine Johnson | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 7805 Abercorn St, Suite 21, Savannah, GA 31406-2457 |
| Kevin Michael Collins | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 744 Noah Dr, Suite 107, Jasper, GA 30143-8704 |
| Street Address |
4510 NELSON BROGDON BLVD |
| City | SUGAR HILL |
| State | GA |
| Zip | 30518-3478 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas A Foy | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 4510 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3478 |
| Soohan Kim | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 4510 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3478 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Morey | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 1839 Buford Hwy Ne, Suite 100, Buford, GA 30518 |
| Rebecca Chasteen Sosebee | Optometry | 4965 Lanier Islands Pkwy, Suite 104, Buford, GA 30518-1717 | |
| Song H Na | Internal Medicine | 4995 Lanier Island Pkwy, Suite A, Buford, GA 30518-1741 | |
| John Henry Lloyd | Emergency Medicine | 5012 Bristol Industrial Wy, Suite 109, Buford, GA 30518-1775 | |
| Barrett A Staley | Physical Therapy | Lanier Therapy South, Inc. | 5005 Lanier Islands Pkwy, Suite 300, Buford, GA 30518-1802 |
| Paula Elliott | Chiropractic | 1675 Heraeus Blvd, Buford, GA 30518-3383 | |
| Albert B Bennett | Chiropractic | 1675 Heraeus Blvd, Buford, GA 30518-3383 | |
| David L Swofford | Optometry | 4420 Nelson Brogdon Blvd, Buford, GA 30518-3477 | |
| Patricia A Seebach | Chiropractic | 4530 Nelson Brogdon Blvd, Suite B, Sugar Hill, GA 30518-3478 | |
| Mary E Ostaszewski | Nurse Practitioner | Tri County Internal Medicine, PC | 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3480 |
| Find all physicians in zip 30518 | |||
| City | SUGAR HILL |
| Zip Code | 30518 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SUGAR HILL + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Domonique Shantae Beckham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.