Victoria L Russell (NPI# 1508088584, PAC ID# 6800828757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1508088584 |
| PAC ID by PECOS | 6800828757 |
| Professional Enrollment ID | I20050831000640 |
| Full Name | Victoria L Russell |
| Organization Legal Name | SOAR PHYSICAL THERAPY, INC |
| Address |
6884 Hickory Flat Hwy Woodstock GA 30188-3229 |
| Phone Number | 7707048244 |
| Gender | F |
| Credential | OT |
| Graduation Year | 2002 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 0941365100 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 7707048244 | SOAR PHYSICAL THERAPY, INC |
| Organization Legal Name | SOAR PHYSICAL THERAPY, INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Burton Stevens Jr. | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Sara Beasley | Occupational Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Jean Marie Peters | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Amy Louise Tice | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Ashley Currie | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Cameron Mikell Brannen | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Danielle M Beatty | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Street Address |
6884 HICKORY FLAT HWY |
| City | WOODSTOCK |
| State | GA |
| Zip | 30188-3229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Burton Stevens Jr. | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Sara Beasley | Occupational Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Jean Marie Peters | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Amy Louise Tice | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Ashley Currie | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Cameron Mikell Brannen | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Danielle M Beatty | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Vaccaro | Chiropractic | 5101 Old Hwy 5, Suite 1, Woodstock, GA 30188 | |
| Jonathan D Chao | Optometry | Woodstock Optometry, P.C. | 915 Ridgewalk Pkwy, Suite 425, Woodstock, GA 30188-0119 |
| Henry Leavengood | Chiropractic | 1238 S Houston Lake Rd, Suite 3, Warner Robins, GA 30188-0724 | |
| Lara Kile | Chiropractic | Leavengood Chiropractic, PC | 1238 S Houston Lake Rd, Suite 3, Warner Robins, GA 30188-0724 |
| Kenya M Ragland | Nurse Practitioner | Georgia Urgent Care, - Alpharetta, LLC | 7820 Hickory Flat Hwy, Woodstock, GA 30188-2099 |
| Jean M Armand | Nurse Practitioner | Georgia Urgent Care, - Alpharetta, LLC | 7820 Hickory Flat Hwy, Woodstock, GA 30188-2099 |
| Kellie C Baxter | Chiropractic | 6875 Hickory Rd, Suite 110, Woodstock, GA 30188-2327 | |
| Mary M Strange | Chiropractic | 5947 Holly Springs Pkwy, Suite 308, Holly Springs, GA 30188-2449 | |
| Mark A Amos | Chiropractic | 10214 Hickory Flat Hwy, Woodstock, GA 30188-3094 | |
| Kyle B Edwards | Optometry | 7824 Hickory Flat Hwy, Suite 100, Woodstock, GA 30188-3488 | |
| Find all physicians in zip 30188 | |||
| City | WOODSTOCK |
| Zip Code | 30188 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | WOODSTOCK + OCCUPATIONAL 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.