Elizabeth Tyler Tredway (NPI# 1013325216, PAC ID# 4486874401) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1013325216 |
| PAC ID by PECOS | 4486874401 |
| Professional Enrollment ID | I20140925001118 |
| Full Name | Elizabeth Tyler Tredway |
| Organization Legal Name | ACTIVCORE HEALTH NETWORK LLC |
| Address |
1145 Zonolite Rd Ne Suite 13 Atlanta GA 30306-2017 |
| Phone Number | 8004558982 |
| Gender | F |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9830400456 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1145 Zonolite Rd Ne, Suite 13, Atlanta, GA 30306-2017 | 8004558982 | ACTIVCORE HEALTH NETWORK LLC |
| Organization Legal Name | ACTIVCORE HEALTH NETWORK LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Briana Mccormick | Physical Therapy | Activcore Health Network LLC | 10920 Moss Park Rd, Suite 212, Orlando, FL 32832-6087 |
| Leif Edward Baumbach | Physical Therapy | Activcore Health Network LLC | 800 Bunn Dr, Suite 102, Princeton, NJ 08540-1968 |
| Jason D Goncalves | Physical Therapy | Activcore Health Network LLC | 1718 E 2nd St, Scotch Plains, NJ 07076-1608 |
| Jamie R Kornbluth | Physical Therapy | Activcore Health Network LLC | 812 Silvia St, Ewing, NJ 08628-3239 |
| Tyler Joyce | Physical Therapy | Activcore Health Network LLC | 800 Bunn Dr, Suite 102, Princeton, NJ 08540-1968 |
| Rachel Victoria Newall | Physical Therapy | Activcore Health Network LLC | 425 S Cherry St, Suite 1000, Denver, CO 80246-1236 |
| Elizabeth Bonner Kemper | Physical Therapy | Activcore Health Network LLC | 1145 Zonolite Rd Ne, Suite 13, Atlanta, GA 30306-2017 |
| Nicholas R Passe | Physical Therapy | Activcore Health Network LLC | 800 Bunn Dr, Suite 102, Princeton, NJ 08540-1968 |
| Gavin Ongsingco | Physical Therapy | Activcore Health Network LLC | 425 S Cherry St, Suite 1000, Denver, CO 80246-1236 |
| Gavin Wang | Physical Therapy | Activcore Health Network LLC | 800 Bunn Dr, Suite 102, Princeton, NJ 08540-1968 |
| Street Address |
1145 ZONOLITE RD NE SUITE 13 |
| City | ATLANTA |
| State | GA |
| Zip | 30306-2017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Bonner Kemper | Physical Therapy | Activcore Health Network LLC | 1145 Zonolite Rd Ne, Suite 13, Atlanta, GA 30306-2017 |
| Elizabeth Dalrymple | Physical Therapy | Activcore Health Network LLC | 1145 Zonolite Rd Ne, Suite 13, Atlanta, GA 30306-2017 |
| Katherine M Edwards | Physical Therapy | Precision Performance and Physical Therapy LLC | 1145 Zonolite Rd Ne, Suite 6, Atlanta, GA 30306-2017 |
| Caroline Ann Smith | Physical Therapy | Precision Performance and Physical Therapy LLC | 1145 Zonolite Rd Ne, Suite 6, Atlanta, GA 30306-2017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia P Shropshire | Clinical Psychologist | 2801 Buford Hwy, Suite 501, Atlanta, GA 30306 | |
| Joseph Carl Smiddy | Internal Medicine | 1700 Braircliff Rd Ne, Atlanta, GA 30306-2106 | |
| Stewart Dixon Gilbert | Diagnostic Radiology | Radiology Associates of Southwest Louisiana | 1378 Rock Springs Cir Ne, Atlanta, GA 30306-2227 |
| Ranie William Pendarvis | Diagnostic Radiology | Brfhh Monroe LLC | 1295 E Rock Springs Rd Ne, Apt 306, Atlanta, GA 30306-2339 |
| Ira L Tedoff | Psychologist, Clinical | 1845 Lenox Rd, Atlanta, GA 30306-3032 | |
| Randy James Culig | Chiropractic | 1409 N Highland Ave Ne, Suite A, Atlanta, GA 30306-3300 | |
| Samuel Mark Wireman | Chiropractic | Pierce Chiropractic Center | 1409 N Highland Ave Ne, Suite A, Atlanta, GA 30306-3300 |
| Judith A Horton | Clinical Psychologist | 1164 N Highland Ave Ne, Atlanta, GA 30306-3448 | |
| Martha Gwaltney | Physical Therapy | Pt Solutions of Acworth LLC | 549 Amsterdam Neave, Atlanta, GA 30306-3472 |
| Phuong Dinh | Family Medicine | Wellstar Medical Group, LLC | 560 Amsterdam Ave Ne, Suite D, Atlanta, GA 30306-3479 |
| Find all physicians in zip 30306 | |||
| City | ATLANTA |
| Zip Code | 30306 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ATLANTA + PHYSICAL THERAPY |
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| 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.