Matthew Hodgens, PT | |
601a Professional Dr, Suite #120, Lawrenceville, GA 30045 | |
(770) 513-0839 | |
Not Available |
Full Name | Matthew Hodgens |
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Gender | Male |
Speciality | Physical Therapist |
Location | 601a Professional Dr, Lawrenceville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093295594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 013585 (Georgia) | Secondary |
225100000X | Physical Therapist | PT013585 (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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Matthew Hodgens, PT 601a Professional Dr, #120, Lawrenceville, GA 30045 Ph: () - | Matthew Hodgens, PT 601a Professional Dr, Suite #120, Lawrenceville, GA 30045 Ph: (770) 513-0839 |
Mrs. Julie G Cleveland, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882 | |
Dr. Brian Joseph Maloney, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 595 Hurricane Shoals Rd Nw, Lawrenceville, GA 30046 Phone: 678-205-5420 | |
Zachary Hollis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr Ste 370, Lawrenceville, GA 30046 Phone: 678-205-5420 | |
Sidney Otiwu, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr Ste 370, Lawrenceville, GA 30046 Phone: 678-205-5420 Fax: 678-205-5462 | |
Deborah Cobb, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601-a Professional Drive, Suite 130, Lawrenceville, GA 30045 Phone: 770-813-0839 | |
Mrs. Erinn Schleicher Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043 Phone: 770-995-2379 Fax: 770-995-2385 | |
R2t2 Therapy Incorporated Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1371 River Station Dr, Lawrenceville, GA 30045 Phone: 770-237-9591 |