| Dr Matthew Iredia Ebalu Jr, | |
|
7130 Mount Zion Blvd Ste 9, Jonesboro, GA 30236-2566 | |
| (770) 603-5660 | |
| Not Available |
| Full Name | Dr Matthew Iredia Ebalu Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 7130 Mount Zion Blvd Ste 9, Jonesboro, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700546256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT016228 (Georgia) | Primary |
| Provider Name | Independent Physical Therapy Of Georgia Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
| Provider Name | Emory Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776 |
| Provider Name | Benchmark Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
| Provider Name | Empowerme Rehabilitation Georgia, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952934374 PECOS PAC ID: 4284063835 Enrollment ID: O20200401003230 |
| Provider Name | Georgia Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Iredia Ebalu Jr, 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915 Ph: (423) 238-3473 | Dr Matthew Iredia Ebalu Jr, 7130 Mount Zion Blvd Ste 9, Jonesboro, GA 30236-2566 Ph: (770) 603-5660 |
Dr. Moronke Ogundele, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 Upper Riverdale Rd Ste B10, Jonesboro, GA 30236 Phone: 770-907-5743 | |
Venneisa Smith Williams, PT005989 Physical Therapist Medicare: Medicare Enrolled Practice Location: 7813 Spivey Station Blvd Ste 230, Jonesboro, GA 30236 Phone: 404-251-2458 | |
Megan Leigh Mclain, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8624 Shoreline Dr, Jonesboro, GA 30236 Phone: 404-791-0513 | |
Gamal Salman Elawad, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7130 Mount Zion Blvd Ste 9, Jonesboro, GA 30236 Phone: 770-603-5660 Fax: 770-603-6779 | |
Faith Uruowhe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 Upper Riverdale Rd Ste B10, Jonesboro, GA 30236 Phone: 770-907-5743 | |
Austin Unger, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7130 Mount Zion Blvd Ste 9, Jonesboro, GA 30236 Phone: 770-603-5660 Fax: 770-603-6779 | |
Yachika Sharma, M.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 335 Upper Riverdale Rd Ste B10, Jonesboro, GA 30236 Phone: 770-907-5743 |