| Timothy Carlton Lonergan, PT, DPT | |
|
3450 Cobb Pkwy Nw, Ste. 140, Acworth, GA 30101-8351 | |
| (678) 473-1081 | |
| Not Available |
| Full Name | Timothy Carlton Lonergan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3450 Cobb Pkwy Nw, Acworth, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528356714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT010350 (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 |
| 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 |
|---|---|
| Timothy Carlton Lonergan, PT, DPT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217 | Timothy Carlton Lonergan, PT, DPT 3450 Cobb Pkwy Nw, Ste. 140, Acworth, GA 30101-8351 Ph: (678) 473-1081 |
Justin Desandre, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924 | |
Isabel Fabacher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Stanton Place Ln, Acworth, GA 30101 Phone: 248-982-5513 | |
Mrs. Karissa Tippens, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Suite 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318 | |
Jonathan Shaw, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3950 Cobb Pkwy Nw, Suite 703, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 | |
Jenna Dreyer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 | |
Mr. Justin Taylor Gorrell, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Ste 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318 | |
Miss Erin Christine Golden, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw, Suite 1001, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 |