| Christopher Allen Goult, PT, DPT | |
|
2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189-5520 | |
| (770) 926-2744 | |
| (770) 926-2794 |
| Full Name | Christopher Allen Goult |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 13 Years |
| Location | 2295 Towne Lake Pkwy, Woodstock, 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 |
|---|---|---|---|
| 1578825915 | NPI | - | NPPES |
| 201110310 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05010868A (Indiana) | Secondary |
| 225100000X | Physical Therapist | PT011818 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| One Place Performance And Osteopractic Physical Therapy | 1658803796 | 2 |
| Coactiv Physical Therapy Llc | 5294129367 | 3 |
| Provider Name | Coactiv Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1437813292 PECOS PAC ID: 5294129367 Enrollment ID: O20220307001365 |
| Provider Name | One Place Performance And Osteopractic Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1366272486 PECOS PAC ID: 1658803796 Enrollment ID: O20241022002923 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Allen Goult, PT, DPT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217 | Christopher Allen Goult, PT, DPT 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189-5520 Ph: (770) 926-2744 |
Amy Kafati, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1432 Towne Lake Pkwy, Ste 120, Woodstock, GA 30189 Phone: 678-445-9799 Fax: 678-445-2688 | |
James Peter Kwan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Madeline Olson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6884 Hickory Flat Hwy, Woodstock, GA 30188 Phone: 770-704-8244 | |
Matthew Payom Ayers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Giovani Velez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6236 Holly Springs Pkwy, Ste D8, Woodstock, GA 30188 Phone: 770-800-6770 | |
Scott William Lowe, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Brittany Poist Kizzire, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 |