Baxter Martin, | |
705 Town Blvd Ne Ste S550, Brookhaven, GA 30319-7216 | |
(404) 869-1912 | |
Not Available |
Full Name | Baxter Martin |
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Gender | Male |
Speciality | Physical Therapist |
Location | 705 Town Blvd Ne Ste S550, Brookhaven, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487411989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT017022 (Georgia) | Primary |
Provider Name | Back In The Game Physical Therapy, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962669275 PECOS PAC ID: 9133380082 Enrollment ID: O20120419000722 |
Mailing Address | Practice Location Address |
---|---|
Baxter Martin, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283 | Baxter Martin, 705 Town Blvd Ne Ste S550, Brookhaven, GA 30319-7216 Ph: (404) 869-1912 |
Kathryn Mosteller, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 705 Town Blvd Ne Ste S550, Brookhaven, GA 30319 Phone: 404-869-1912 Fax: 404-869-6515 | |
Hunter Scott Ryan, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 705 Town Blvd Ne Ste S550, Brookhaven, GA 30319 Phone: 404-869-1912 Fax: 404-869-6515 | |
Stephanie Reynolds, Physical Therapist Medicare: Medicare Enrolled Practice Location: 705 Town Blvd Ne Apt 550, Brookhaven, GA 30319 Phone: 404-869-1912 Fax: 404-869-6515 | |
Elizabeth Karr, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 705 Town Blvd Ne Ste S550, Brookhaven, GA 30319 Phone: 404-869-1912 | |
Allison Guengerich, Physical Therapist Medicare: Medicare Enrolled Practice Location: 705 Town Blvd Ne Ste S550, Brookhaven, GA 30319 Phone: 404-869-1912 | |
Michael Irr, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3271 Lynwood Dr Ne, Brookhaven, GA 30319 Phone: 860-608-4084 | |
Austin Grant Miller, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 705 Town Blvd Ne Ste S550, Brookhaven, GA 30319 Phone: 404-869-1912 Fax: 404-869-6515 |