Dr Taylor Grant, PT, DPT | |
415 Horizon Dr Ste 250, Suwanee, GA 30024-4647 | |
(678) 505-1995 | |
Not Available |
Full Name | Dr Taylor Grant |
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Gender | Male |
Speciality | Physical Therapist |
Location | 415 Horizon Dr Ste 250, Suwanee, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477273720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT016211 (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 |
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Dr Taylor Grant, PT, DPT 6225 Lakeside Ln, Buford, GA 30518-2188 Ph: () - | Dr Taylor Grant, PT, DPT 415 Horizon Dr Ste 250, Suwanee, GA 30024-4647 Ph: (678) 505-1995 |
Mrs. Clarice M Ezeanya, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 302 Satellite Blvd Ne Ste 111, Suwanee, GA 30024 Phone: 862-202-6596 | |
Maria E. Doolen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7350 Mcginnis Ferry Rd, Suite 200, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082 | |
Rehab Of Suwanee Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Peachtree Industrial Blvd, Suite #290, Suwanee, GA 30024 Phone: 770-850-0857 | |
Avaniben Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4060 Johns Creek Pkwy Ste H, Suwanee, GA 30024 Phone: 770-622-5344 Fax: 770-622-5388 | |
David A Linbo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2576 Lawrenceville Suwanee Rd Bldg 1, Suwanee, GA 30024 Phone: 770-962-4043 | |
Benchmark Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3630 Peachtree Pkwy Ste 310, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082 | |
Atlanta Falcons Physical Therapy Centers Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1180 Satellite Blvd Nw, Suite 100, Suwanee, GA 30024 Phone: 404-367-2080 Fax: 770-495-3493 |