| Kristoffer Totanes Magallanes, | |
|
201 Walmart Way, Eastanollee, GA 30538 | |
| (706) 282-1025 | |
| (706) 886-8156 |
| Full Name | Kristoffer Totanes Magallanes |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 201 Walmart Way, Eastanollee, 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 |
|---|---|---|---|
| 1134836984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12120 (Connecticut) | Secondary |
| 225100000X | Physical Therapist | PT016489 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independent Physical Therapy Of Georgia Llc | 2961312244 | 527 |
| Benchmark Physical Therapy, Inc | 1557395209 | 71 |
| Agilitas Usa, Inc | 3375454648 | 820 |
| 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 | 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 | Drayer Physical Therapy Georgia, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962830406 PECOS PAC ID: 4284863317 Enrollment ID: O20140212000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristoffer Totanes Magallanes, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283 | Kristoffer Totanes Magallanes, 201 Walmart Way, Eastanollee, GA 30538 Ph: (706) 282-1025 |
Independent Physical Therapy Of Ga, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Walmart Way, Eastanollee, GA 30538 Phone: 706-282-1025 Fax: 706-886-8156 | |
Bryce Esco, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 Walmart Way, Eastanollee, GA 30538 Phone: 706-282-1025 |