| Jonathan Eidman, DPT | |
|
1000 Peachtree Industrial Blvd Ste 5, Suwanee, GA 30024-1977 | |
| (678) 482-9695 | |
| Not Available |
| Full Name | Jonathan Eidman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 1000 Peachtree Industrial Blvd Ste 5, Suwanee, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487178646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | PT013022 (Georgia) | Secondary |
| 225100000X | Physical Therapist | PT013022 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellnyss Inc | 8628459302 | 8 |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Independent Physical Therapy Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
| Entity Name | Au Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437135902 PECOS PAC ID: 7618866229 Enrollment ID: O20040312000081 |
| Entity Name | Benchmark Physical Therapy, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
| Entity Name | Drayer Physical Therapy Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962830406 PECOS PAC ID: 4284863317 Enrollment ID: O20140212000668 |
| Entity Name | Your Aging Therapist Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1780263129 PECOS PAC ID: 6709285992 Enrollment ID: O20210701003590 |
| Entity Name | Wellnyss Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205575677 PECOS PAC ID: 8628459302 Enrollment ID: O20220713002284 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Eidman, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283 | Jonathan Eidman, DPT 1000 Peachtree Industrial Blvd Ste 5, Suwanee, GA 30024-1977 Ph: (678) 482-9695 |