| Sportscare Physical Therapy Inc | |
|
4310 Johns Creek Pkwy Ste 130, Suwanee, GA 30024-6092 | |
| (770) 495-0610 | |
| (770) 495-0806 |
| Full Name | Sportscare Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4310 Johns Creek Pkwy Ste 130, Suwanee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962459883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 002277 (Georgia) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Maria E Doolen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023056025 PECOS PAC ID: 8123037983 Enrollment ID: I20060406000438 |
| Provider Name | Jeffrey Lewandowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568400257 PECOS PAC ID: 7810900735 Enrollment ID: I20060719000177 |
| Provider Name | Genevieve A Abi Sarkis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619364627 PECOS PAC ID: 4284940685 Enrollment ID: I20150831002276 |
| Provider Name | Joseph Pangburn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639546849 PECOS PAC ID: 8921316241 Enrollment ID: I20151006000652 |
| Provider Name | Brian T Denmark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164893251 PECOS PAC ID: 9133417397 Enrollment ID: I20161004002098 |
| Provider Name | Courtney L Jenkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235669979 PECOS PAC ID: 6103192604 Enrollment ID: I20171030000036 |
| Provider Name | Kara Snider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194249870 PECOS PAC ID: 0244575330 Enrollment ID: I20181218001735 |
| Provider Name | Leda C Mcdaniel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396306346 PECOS PAC ID: 7517298094 Enrollment ID: I20191015000763 |
| Provider Name | Jason J. Chong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386288058 PECOS PAC ID: 7719313162 Enrollment ID: I20200204001572 |
| Provider Name | Justin Thomas Mathew |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679187132 PECOS PAC ID: 5395164115 Enrollment ID: I20200929000578 |
| Provider Name | Brooke Davidson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740687284 PECOS PAC ID: 2961808944 Enrollment ID: I20210831002769 |
| Provider Name | Mackin N D'amico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275145971 PECOS PAC ID: 2062810104 Enrollment ID: I20211005000349 |
| Provider Name | Trung Phan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093446221 PECOS PAC ID: 1658752423 Enrollment ID: I20220726000652 |
| Provider Name | Andrew Nathanel Goorsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811598097 PECOS PAC ID: 5991116550 Enrollment ID: I20230815001632 |
| Provider Name | Abigail C Niersbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235821117 PECOS PAC ID: 7214382514 Enrollment ID: I20231005003283 |
| Mailing Address | Practice Location Address |
|---|---|
| Sportscare Physical Therapy Inc 4310 Johns Creek Pkwy Ste 130, Suwanee, GA 30024-6092 Ph: (770) 495-0610 | Sportscare Physical Therapy Inc 4310 Johns Creek Pkwy Ste 130, Suwanee, GA 30024-6092 Ph: (770) 495-0610 |
Mrs. Clarice M Ezeanya, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 302 Satellite Blvd Ne Ste 111, Suwanee, GA 30024 Phone: 862-202-6596 | |
Maria E. Doolen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7350 Mcginnis Ferry Rd, Suite 200, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082 | |
Mallory Reichard, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1180 Satellite Blvd Nw Ste 100, Suwanee, GA 30024 Phone: 404-367-2080 Fax: 770-495-3493 | |
Rehab Of Suwanee Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Peachtree Industrial Blvd, Suite #290, Suwanee, GA 30024 Phone: 770-850-0857 | |
Avaniben Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4060 Johns Creek Pkwy Ste H, Suwanee, GA 30024 Phone: 770-622-5344 Fax: 770-622-5388 | |
David A Linbo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2576 Lawrenceville Suwanee Rd Bldg 1, Suwanee, GA 30024 Phone: 770-962-4043 | |
Benchmark Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3630 Peachtree Pkwy Ste 310, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082 |