Gayatree Sant Modak, | |
2465 Canopy Gln, Marietta, GA 30066-1541 | |
(770) 517-2480 | |
(770) 592-9431 |
Full Name | Gayatree Sant Modak |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 17 Years |
Location | 2465 Canopy Gln, Marietta, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447482971 | NPI | - | NPPES |
009465 | Other | GA | PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9465 (Georgia) | Primary |
2251P0200X | Physical Therapist - Pediatrics | 9465 (Georgia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Synapse Neurorehab And Wellness Llc | 1355742917 | 9 |
Provider Name | Synapse Neurorehab And Wellness Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1679156863 PECOS PAC ID: 1355742917 Enrollment ID: O20210702001334 |
Mailing Address | Practice Location Address |
---|---|
Gayatree Sant Modak, Po Box 670207, Marietta, GA 30066-0121 Ph: (770) 517-2480 | Gayatree Sant Modak, 2465 Canopy Gln, Marietta, GA 30066-1541 Ph: (770) 517-2480 |
Veronica V Edwards, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1720 Powers Ferry Rd Se, Suite 100, Marietta, GA 30067 Phone: 770-955-2225 Fax: 770-953-6658 | |
Remobility Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3901 Roswell Rd, Suite 100a, Marietta, GA 30062 Phone: 770-578-4343 Fax: 770-578-4342 | |
Dr. Jacob Irwin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4343 Shallowford Rd Ste 630, Marietta, GA 30062 Phone: 770-449-5152 Fax: 866-821-7683 | |
Susan Harbison Mayne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2217 Roswell Rd., Suite A100, Marietta, GA 30062 Phone: 770-321-6600 Fax: 770-321-5559 | |
Melanie Landers, PT, CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 Olde Towne Pkwy, Suite 130, Marietta, GA 30068 Phone: 770-485-3045 Fax: 770-485-5958 | |
Kristin Lauterbach, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3405 Dallas Hwy Sw Ste 601, Marietta, GA 30064 Phone: 770-438-5226 | |
Chad Mathew Kinshaw, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1197 Johnson Ferry Rd, Marietta, GA 30068 Phone: 770-321-0155 |