Miss Montana Marie Anderson, DPT | |
3450 Cobb Pkwy Nw, Ste 220, Acworth, GA 30101-8351 | |
(770) 974-1978 | |
(770) 974-1979 |
Full Name | Miss Montana Marie Anderson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 3450 Cobb Pkwy Nw, Acworth, 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 |
---|---|---|---|
1497186464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 08695 (Louisiana) | Secondary |
225100000X | Physical Therapist | PT011516 (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 |
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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 |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
Mailing Address | Practice Location Address |
---|---|
Miss Montana Marie Anderson, DPT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-8907 | Miss Montana Marie Anderson, DPT 3450 Cobb Pkwy Nw, Ste 220, Acworth, GA 30101-8351 Ph: (770) 974-1978 |
Justin Desandre, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924 | |
Isabel Fabacher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Stanton Place Ln, Acworth, GA 30101 Phone: 248-982-5513 | |
Mrs. Karissa Tippens, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Suite 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318 | |
Jonathan Shaw, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3950 Cobb Pkwy Nw, Suite 703, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 | |
Jenna Dreyer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 | |
Mr. Justin Taylor Gorrell, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Ste 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318 | |
Miss Erin Christine Golden, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw, Suite 1001, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 |