Champion Physical Therapy Llc | |
540 Lake Center Pkwy, Suiet 107, Cumming, GA 30040-7727 | |
(770) 205-3939 | |
(770) 205-4994 |
Full Name | Champion Physical Therapy Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 540 Lake Center Pkwy, Cumming, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053509299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Matthew L Foltz |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295813269 PECOS PAC ID: 9931185196 Enrollment ID: I20070629000494 |
Provider Name | Jill K Mathis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366552200 PECOS PAC ID: 7012003353 Enrollment ID: I20071017000628 |
Provider Name | Cynthia R Wheeler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134238330 PECOS PAC ID: 8729162987 Enrollment ID: I20080226000728 |
Provider Name | Ellen F Welch |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104079771 PECOS PAC ID: 6103961420 Enrollment ID: I20100310000932 |
Provider Name | Jose L Dejesus |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114173242 PECOS PAC ID: 5092881508 Enrollment ID: I20130508000368 |
Provider Name | Ashley Brooke Porter |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1003177213 PECOS PAC ID: 8628214319 Enrollment ID: I20170908000378 |
Provider Name | Robert Borger |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083168975 PECOS PAC ID: 9335499110 Enrollment ID: I20180829002887 |
Provider Name | Nicole Bailys |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851952881 PECOS PAC ID: 6709118367 Enrollment ID: I20191031000430 |
Provider Name | Kayla F Williams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215503404 PECOS PAC ID: 4981006814 Enrollment ID: I20210714001655 |
Provider Name | William A Parten |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568032332 PECOS PAC ID: 3870998065 Enrollment ID: I20210826001066 |
Provider Name | Eric J Holshouser |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821749912 PECOS PAC ID: 6507250461 Enrollment ID: I20220218001931 |
Mailing Address | Practice Location Address |
---|---|
Champion Physical Therapy Llc 540 Lake Center Pkwy, Suiet 107, Cumming, GA 30040-7727 Ph: (770) 205-3939 | Champion Physical Therapy Llc 540 Lake Center Pkwy, Suiet 107, Cumming, GA 30040-7727 Ph: (770) 205-3939 |
Laura J Sparks, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mountain View Dr, Suite 100, Cumming, GA 30040 Phone: 770-889-2163 | |
Marcus Belizaire, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4640 Martin Road, Cumming, GA 30041 Phone: 678-679-1261 Fax: 678-250-9010 | |
Independent Physical Therapy Of Ga, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5310 Matt Hwy Ste 105, Cumming, GA 30028 Phone: 470-239-4255 | |
Mackenzie L Miller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1715 Friendship Cir Ste 300, Cumming, GA 30028 Phone: 770-240-1063 Fax: 470-745-6035 | |
Janice Allman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mountain View Dr, Suite 100, Cumming, GA 30040 Phone: 770-889-2163 | |
Tina Mcginley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3950 Overlake Dr, Cumming, GA 30041 Phone: 770-363-5600 | |
Joel Nabors, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Peachtree Parkway, Suite 101, Cumming, GA 30041 Phone: 678-455-5600 Fax: 678-455-4554 |