Kristoffer Totanes Magallanes, | |
201 Walmart Way, Eastanollee, GA 30538 | |
(706) 282-1025 | |
(706) 886-8156 |
Full Name | Kristoffer Totanes Magallanes |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 201 Walmart Way, Eastanollee, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134836984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12120 (Connecticut) | Secondary |
225100000X | Physical Therapist | PT016489 (Georgia) | Primary |
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 |
Provider Name | Benchmark Physical Therapy, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
Provider Name | Drayer Physical Therapy Georgia, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962830406 PECOS PAC ID: 4284863317 Enrollment ID: O20140212000668 |
Mailing Address | Practice Location Address |
---|---|
Kristoffer Totanes Magallanes, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283 | Kristoffer Totanes Magallanes, 201 Walmart Way, Eastanollee, GA 30538 Ph: (706) 282-1025 |
Independent Physical Therapy Of Ga, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Walmart Way, Eastanollee, GA 30538 Phone: 706-282-1025 Fax: 706-886-8156 |