| Therapeutic Dynamics | |
|
1810 Peachtree Industrial Blvd, Suite 130, Duluth, GA 30097-8180 | |
| (770) 232-7100 | |
| (770) 232-7198 |
| Full Name | Therapeutic Dynamics |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1810 Peachtree Industrial Blvd, Duluth, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790832566 | NPI | - | NPPES |
| 9406564 | Other | GA | PHCS PIN |
| 52068657-004 | Other | GA | BCBSGA PPO PIN |
| 5675691 | Other | GA | FIRST HEALTH PIN |
| 681643 | Other | GA | ACN PIN |
| 7480721 | Other | GA | AETNA PPO POS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT006667 (Georgia) | Primary |
| Provider Name | Jon Preston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518024991 PECOS PAC ID: 8022042761 Enrollment ID: I20050922000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Dynamics 2557 Collins Port Cv, Suwanee, GA 30024-2787 Ph: (770) 232-7100 | Therapeutic Dynamics 1810 Peachtree Industrial Blvd, Suite 130, Duluth, GA 30097-8180 Ph: (770) 232-7100 |
Whitney Stroup, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1845 Satellite Blvd, Duluth, GA 30097 Phone: 404-778-6490 | |
Jonathan Dean Bailey, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3790 Pleasant Hill Rd Ste 100, Duluth, GA 30096 Phone: 770-497-4228 | |
Christopher Nguyen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2103 Pleasant Hill Rd, Duluth, GA 30096 Phone: 470-740-3900 Fax: 470-740-3901 | |
Mrs. Elizabeth Toomer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6340 Sugarloaf Pkwy, Suite 125, Duluth, GA 30097 Phone: 770-476-5877 Fax: 770-476-5835 | |
Rayna Green, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3680 Pleasant Hill Rd Ste 101, Duluth, GA 30096 Phone: 770-813-5575 | |
Crystal A Champion, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3742 Greenwich Ave, Duluth, GA 30096 Phone: 706-631-1030 | |
Margaret Sutcliffe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10700 Medlock Bridge Rd, Suite 105, Duluth, GA 30097 Phone: 770-623-0105 Fax: 770-623-0602 |