| John Kenneth Clucas, PT, DPT | |
|
5415 Thompson Mill Rd, Hoschton, GA 30548-4132 | |
| (770) 965-3508 | |
| (770) 965-3279 |
| Full Name | John Kenneth Clucas |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5415 Thompson Mill Rd, Hoschton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245769892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070023050 (Illinois) | Secondary |
| 225100000X | Physical Therapist | PT014979 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| John Kenneth Clucas, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | John Kenneth Clucas, PT, DPT 5415 Thompson Mill Rd, Hoschton, GA 30548-4132 Ph: (770) 965-3508 |
Adam James Dunton, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5415 Thompson Mill Rd, Hoschton, GA 30548 Phone: 770-965-3508 Fax: 770-965-3279 | |
Audrey Jennings Williams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5415 Thompson Mill Rd, Hoschton, GA 30548 Phone: 770-965-3508 | |
Caroline Upton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5415 Thompson Mill Rd, Hoschton, GA 30548 Phone: 770-965-3508 | |
Sarah Lynn Cornett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5415 Thompson Mill Rd, Hoschton, GA 30548 Phone: 770-965-3508 Fax: 770-965-3278 | |
Cynthia Collins, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5373 Thompson Mill Rd, Hoschton, GA 30548 Phone: 770-465-7003 | |
Bryan Diaz-rodriguez, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5415 Thompson Mill Rd, Hoschton, GA 30548 Phone: 770-965-3508 |