| Amanda Nicole Higgins, PT, DPT | |
|
1820 Highway 20 Se Ste 160, Conyers, GA 30013-2080 | |
| (770) 929-8872 | |
| (770) 929-8890 |
| Full Name | Amanda Nicole Higgins |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1820 Highway 20 Se Ste 160, Conyers, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972136448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01898200 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | PT014509 (Georgia) | Primary |
| Provider Name | Benchmark Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Nicole Higgins, PT, DPT 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915 Ph: (423) 238-7217 | Amanda Nicole Higgins, PT, DPT 1820 Highway 20 Se Ste 160, Conyers, GA 30013-2080 Ph: (770) 929-8872 |
Stevi Denise Wheeler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1820 Highway 20 Se Ste 146, Conyers, GA 30013 Phone: 770-929-8872 Fax: 770-929-8890 | |
Kenyata B Holton, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1157b West Ave Sw, Conyers, GA 30012 Phone: 770-922-2420 | |
Brian Jung Hyun Shin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1820 Highway 20 Se, Ste 146, Conyers, GA 30013 Phone: 770-929-8872 Fax: 770-929-8890 | |
Dr. Joshua Michael Brown, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 875 Flat Shoals Rd Se, #160, Conyers, GA 30094 Phone: 770-785-7669 | |
Mr. Brian N Conton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 923 Commercial St Ne, Conyers, GA 30012 Phone: 404-427-7413 Fax: 770-760-8870 | |
Kareem David Pierre, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2395 Wall St Se Ste 176, Conyers, GA 30013 Phone: 770-679-1553 | |
Gary E Woodham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1603 Highway 20 Ne, Suite 201, Conyers, GA 30012 Phone: 770-929-8411 |