MEDICARE: MEADOWS HAND AND PHYSICAL THERAPY CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT004486	GA
2	225100000X	Physical Therapist	PT007815	GA
3	2251H1200X	Hand Physical Therapist	PT004486	GA

General Provider Information

NPI Number	:	1063620037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEADOWS HAND AND PHYSICAL THERAPY CLINIC

Provider Business Mailing Address
First Line	:	9700 MEDLOCK BRIDGE RD STE 150
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30097-4409
Country	:	US
Telephone Number	:	770-623-0105
Fax Number	:	678-377-1737

Provider Business Practice Location Address
First Line	:	9700 MEDLOCK BRIDGE RD STE 150
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30097-4409
Country	:	US
Telephone Number	:	770-623-0105
Fax Number	:	678-377-1737

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MANISHA KAPASI
Credential	:	PHD, PT, CHT
Telephone Number	:	770-623-0105

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	09/12/2022

Similar Medicare Providers

1639289408 — MRS. MANISHA Z KAPASI PT PHD CHT
Practice Location Address:

9700 MEDLOCK BRIDGE RD STE 150
JOHNS CREEK, GA
30097-4409

Practice Phone: 770-623-0105
Practice Fax: 678-377-1737

1609137827 — DR. JEREMY MICHAEL SEDLOCK D.C.
Practice Location Address:

9700 MEDLOCK BRIDGE RD , STE 132
JOHNS CREEK, GA
30097-4409

Practice Phone: 770-450-9394
Practice Fax:

1205841400 — WALGREEN CO
Practice Location Address:

4395 KIMBALL BRIDGE RD
JOHNS CREEK, GA
30022-4409

Practice Phone: 678-566-0422
Practice Fax:

1407136047 — MR. DAVID R. SHORE RPH.
Practice Location Address:

4395 KIMBALL BRIDGE RD
JOHNS CREEK, GA
30022-4409

Practice Phone: 678-566-0422
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1447537956 — RAGHU KANCHARLA
Practice Location Address:

4395 KIMBALL BRIDGE RD
JOHNS CREEK, GA
30022-4409

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Practice Fax:

1720491343 — DR. KATINA HOPE M.D.
Practice Location Address:

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Practice Fax:

Directions to “MEADOWS HAND AND PHYSICAL THERAPY CLINIC ” Practice Location

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