Christopher Allen Goult, PT, DPT | |
2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189-5520 | |
(770) 926-2744 | |
(770) 926-2794 |
Full Name | Christopher Allen Goult |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 2295 Towne Lake Pkwy, Woodstock, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578825915 | NPI | - | NPPES |
201110310 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05010868A (Indiana) | Secondary |
225100000X | Physical Therapist | PT011818 (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 |
---|---|
Christopher Allen Goult, PT, DPT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217 | Christopher Allen Goult, PT, DPT 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189-5520 Ph: (770) 926-2744 |
Amy Kafati, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1432 Towne Lake Pkwy, Ste 120, Woodstock, GA 30189 Phone: 678-445-9799 Fax: 678-445-2688 | |
James Peter Kwan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Matthew Payom Ayers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Giovani Velez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6236 Holly Springs Pkwy, Ste D8, Woodstock, GA 30188 Phone: 770-800-6770 | |
Scott William Lowe, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Joseph Ronald Gross, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Brittany Poist Kizzire, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 |