| Jill Mathis, | |
|
540 Lake Center Pkwy, Suite 107, Cumming, GA 30040-7727 | |
| (770) 205-3939 | |
| Not Available |
| Full Name | Jill Mathis |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 30 Years |
| Location | 540 Lake Center Pkwy, Cumming, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366552200 | NPI | - | NPPES |
| PT004825 | Other | GA | LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Champion Physical Therapy Llc | 6800985417 | 8 |
| Provider Name | Champion Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053509299 PECOS PAC ID: 6800985417 Enrollment ID: O20071205000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Mathis, 5155 Shady Grove Rd, Cumming, GA 30041-4730 Ph: (770) 205-3939 | Jill Mathis, 540 Lake Center Pkwy, Suite 107, Cumming, GA 30040-7727 Ph: (770) 205-3939 |
Laura J Sparks, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mountain View Dr, Suite 100, Cumming, GA 30040 Phone: 770-889-2163 | |
Marcus Belizaire, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4640 Martin Road, Cumming, GA 30041 Phone: 678-679-1261 Fax: 678-250-9010 | |
Mackenzie L Miller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1715 Friendship Cir Ste 300, Cumming, GA 30028 Phone: 770-240-1063 Fax: 470-745-6035 | |
Janice Allman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mountain View Dr, Suite 100, Cumming, GA 30040 Phone: 770-889-2163 | |
Tina Mcginley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3950 Overlake Dr, Cumming, GA 30041 Phone: 770-363-5600 | |
Sunshine Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2675 Benefield Rd, Cumming, GA 30041 Phone: 510-861-5172 | |
Joel Nabors, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Peachtree Parkway, Suite 101, Cumming, GA 30041 Phone: 678-455-5600 Fax: 678-455-4554 |