Physio-marietta is a
Clinic/center - Physical Therapy based in Kennesaw, Georgia. Physio-marietta is licensed to practice in * (Not Available) (license number ) and their current practice location is
390 Ernest W Barrett Pkwy Nw, Suite 4, Kennesaw, Georgia. It can be reached at their office (for appointments etc.) via phone at
(770) 426-9945.
NPI number for Physio-marietta is 1477638377 and their current mailing address is 4714 Gettysburg Rd, Legal Department, Mechanicsburg, Pennsylvania. Physio-marietta
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1477638377.
Healthcare Provider's Profile
| Full Name | Physio-marietta |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 390 Ernest W Barrett Pkwy Nw, Kennesaw, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477638377
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 09/09/2026
Medical Identifiers
Medical identifiers for Physio-marietta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477638377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Physio-marietta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Physio-marietta
4714 Gettysburg Rd, Legal Department,
Mechanicsburg, PA 17055-4325
Ph: (717) 972-1100 | Physio-marietta
390 Ernest W Barrett Pkwy Nw, Suite 4,
Kennesaw, GA 30144-4989
Ph: (770) 426-9945 |
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