| Justin Tyler, PT, DPT | |
|
4024 Lawrenceville Hwy Nw Ste 19&20, Lilburn, GA 30047-2999 | |
| (770) 931-8686 | |
| Not Available |
| Full Name | Justin Tyler |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4024 Lawrenceville Hwy Nw Ste 19&20, Lilburn, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932911963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT015685 (Georgia) | Primary |
| Provider Name | Matrix Rehabilitation-georgia Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659302966 PECOS PAC ID: 2567379498 Enrollment ID: O20180523002002 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Tyler, PT, DPT 5380 Glade Park Dr, Lilburn, GA 30047-2572 Ph: () - | Justin Tyler, PT, DPT 4024 Lawrenceville Hwy Nw Ste 19&20, Lilburn, GA 30047-2999 Ph: (770) 931-8686 |
Dr. Jibin Koyikkathu Titus, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 966a Killian Hill Rd Sw, Lilburn, GA 30047 Phone: 770-923-4815 | |
Shital U Shilotri, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4562 Lawrenceville Hwy Nw Ste 201, Lilburn, GA 30047 Phone: 770-806-4136 | |
Denise Meadows, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4745 Bridgewater Dr Sw, Lilburn, GA 30047 Phone: 770-337-9956 | |
Zaras Wellness Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3100 Five Forks Trickum Rd Sw Ste 603, Lilburn, GA 30047 Phone: 678-292-6150 | |
Darryl Drew, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 966a Killian Hill Rd Sw, Lilburn, GA 30047 Phone: 770-923-4815 Fax: 770-923-0901 | |
Parija Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4145 Lawrenceville Hwy Nw Ste 8, Lilburn, GA 30047 Phone: 678-691-7163 | |
Functional Improvements, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1003b Oak Rd Sw, Lilburn, GA 30047 Phone: 770-979-3272 Fax: 770-979-4442 |