Nicole Adair Mathis, OT | |
600 Chastain Rd Nw Ste 428, Kennesaw, GA 30144-3210 | |
(770) 425-6701 | |
(770) 425-6703 |
Full Name | Nicole Adair Mathis |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 7 Years |
Location | 600 Chastain Rd Nw Ste 428, Kennesaw, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619432036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 12293 (North Carolina) | Secondary |
225X00000X | Occupational Therapist | OT008025 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Independent Physical Therapy Of Georgia Llc | 2961312244 | 447 |
Provider Name | Independent Physical Therapy Of Georgia Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
Mailing Address | Practice Location Address |
---|---|
Nicole Adair Mathis, OT 1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424 Ph: (423) 682-8840 | Nicole Adair Mathis, OT 600 Chastain Rd Nw Ste 428, Kennesaw, GA 30144-3210 Ph: (770) 425-6701 |
Erin E Moreno, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4381 Bells Ferry Rd Nw, Kennesaw, GA 30144 Phone: 724-816-1800 Fax: 865-951-7273 | |
Clarissa Renee George, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3745 Cherokee St Nw Ste 6023745, Kennesaw, GA 30144 Phone: 404-914-5123 | |
Elizabeth Pacheco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2950 Cherokee St Nw Ste 500, Kennesaw, GA 30144 Phone: 678-903-5506 | |
Jule G Kagan, MOT-OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2877 Cressington Bnd Nw, Kennesaw, GA 30144 Phone: 770-479-1950 | |
Kathryn Keel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5150 Stilesboro Rd Nw Ste 430, Kennesaw, GA 30152 Phone: 770-218-2300 Fax: 770-218-2201 | |
Elizabeth Poulsen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5150 Stilesboro Rd Nw, Suite 430, Kennesaw, GA 30152 Phone: 770-218-2300 | |
Mrs. Rachel Pace Nemati, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St Nw Ste 602, Kennesaw, GA 30144 Phone: 770-558-5491 |