MATRIX REHABILITATION-GEORGIA INC (NPI# 1376574764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376574764 |
| Entity Type | Organization |
| Organization Name | MATRIX REHABILITATION-GEORGIA INC |
| Other Organization Name | PHYSIOTHERAPY ASSOCIATES-CARROLLTON |
| Practice Address |
1004 Bankhead Hwy Bldg A Suite 5 Carrollton GA 30117-1848 |
| Mailing Address |
4714 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7708345609 |
| Practice Fax Number | 7708348617 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | MR. MICHAEL E TARVIN (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Physiotherapy Associates-Carrollton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427089853 | Matrix Rehabilitation-georgia Inc | Clinic/Center | 234 Jonesboro Rd, Mcdonough, GA 30253-3720 | 2006-07-05 |
| 1659302966 | Matrix Rehabilitation-georgia Inc | Clinic/Center | 665 Thornton Way, Suite B, Lithia Springs, GA 30122-2624 | 2006-07-05 |
| 1487685772 | Matrix Rehabilitation-georgia Inc | Clinic/Center | 6329 Roswell Rd Ne, Suite 105, Sandy Springs, GA 30328-3225 | 2006-07-05 |
| 1053342444 | Matrix Rehabilitation-georgia Inc | Clinic/Center | 1460 Montreal Road E, Suite 300, Tucker, GA 30084 | 2006-07-05 |
| 1518998970 | Matrix Rehabilitation-georgia Inc | Clinic/Center | 9050 Periodot Parkway, Suite E, Stockbridge, GA 30281-9417 | 2006-07-05 |
| 1639115272 | Matrix Rehabilitation-georgia Inc | Clinic/Center | 4024 Lawrenceville Hwy Nw, Suite 20, Lilburn, GA 30047-2805 | 2006-06-21 |
| 1972678605 | Matrix Rehabilitation-georgia Inc | Clinic/Center | 5255 Snapfinger Park Dr, Suite 5255-130, Decatur, GA 30035-4084 | 2006-11-21 |
| 1356372585 | Matrix Rehabilitation-georgia Inc | Clinic/Center | 335 Roselane St Nw, Suite 201, Marietta, GA 30060-7902 | 2006-07-05 |
| Street Address |
1004 BANKHEAD HWY BLDG A SUITE 5 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993331 | Erin Taylor | Specialist/Technologist | 1004 Bankhead Hwy, Carrollton, GA 30117-1852 | 2017-10-23 |
| 1023569456 | Dillon Jennings | Physical Therapy Assistant | 1004 Bankhead Hwy, Suite A5, Carrollton, GA 30117-1852 | 2016-10-20 |
| 1285972430 | Emily Painter | Physical Therapy Assistant | 1004 Bankhead Hwy, Building A Suite 5, Carrollton, GA 30117-1852 | 2013-01-23 |
| 1801975255 | Laurri Wallace | Physical Therapist | 1004 Bankhead Hwy, Bldg A, Ste 5, Carrollton, GA 30117-1852 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376581306 | Carrollton Physical Therapy Clinic, PC. | Clinic/Center | 1933 E Frankford Rd, Suite 110, Carrollton, TX 75007-5371 | 2006-06-03 |
| 1255972972 | Cy Pain and Rehab Pllc | Clinic/Center | 4541 N Josey Ln Ste 230, Carrollton, TX 75010-4781 | 2019-10-03 |
| 1770022345 | Pi-metrics LLC | Clinic/Center | 2710 N Josey Ln, Suite 301, Carrollton, TX 75007-5400 | 2017-02-15 |
| 1417264045 | United Rehab Inc. | Clinic/Center | 921 Old Newnan Rd, Carrollton, GA 30116-8094 | 2010-09-02 |
| 1487838066 | Southern Therapy Services, Inc | Clinic/Center | 812 S Park St, Carrollton, GA 30117-4412 | 2007-12-19 |
| 1114981669 | Southern Therapy Services, Inc. | Clinic/Center | 812 S Park St, Carrollton, GA 30117-4412 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763150 | Esop Rehabilitation, LLC | Clinic/Center | 1699 Highway 124 N Ste 100, Snellville, GA 30078-7921 | 2020-06-08 |
| 1912566811 | Tattnall Hospital Company, LLC | Clinic/Center | 10200 Ford Ave Ste 105, Richmond Hill, GA 31324-8824 | 2019-06-13 |
| 1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
| 1457874976 | Effingham Rehab Services, Inc | Clinic/Center | 111 Jazie Dr Ste E, Savannah, GA 31410-1908 | 2017-07-18 |
| 1770006272 | Effingham Rehab Services, Inc | Clinic/Center | 22 W Oglethorpe Ave, Savannah, GA 31401-3702 | 2017-07-18 |
| 1588187090 | Effingham Rehab Services, Inc | Clinic/Center | 475 S Main St Ste B, Hinesville, GA 31313-1365 | 2017-07-18 |
| 1447773908 | Effingham Rehab Services, Inc | Clinic/Center | 2709 Us Highway 17 Ste 2a, Richmond Hill, GA 31324-3795 | 2017-07-17 |
| 1437689288 | Dr. Peggy Marbach Vestibular Rehab Specialist, LLC | Clinic/Center | 6849 Peachtree Dunwoody Road, Building B-4, Suite #100, Sandy Springs, GA 30328-6776 | 2017-06-14 |
| 1699207274 | Vestibular Linc LLC | Clinic/Center | 921 Harmony Rd Ste 2, Eatonton, GA 31024-9618 | 2017-04-01 |
| 1346784113 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1600 Ballewtown Rd, C/o Blue Ridge Assisted Living, Blue Ridge, GA 30513-5337 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.