NPIMap

Organization Active NPI

Matrix Rehabilitation-Georgia Inc

Doing business as Physiotherapy Associates

  • Physical Therapy Clinic/Center
  • Carrollton, GA
National Provider Identifier
1376574764
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MATRIX REHABILITATION-GEORGIA INC
Doing business as
Physiotherapy Associates
Physiotherapy Associates-Carrollton
Practice address
1004 Bankhead Hwy
BLDG a Suite 5
Carrollton, GA 30117-1848
Phone
(770) 834-5609
Fax
(770) 834-8617
NPI assigned
Jul 5, 2006
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John F Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

1004 Bankhead Hwy
BLDG a Suite 5
Carrollton, GA 30117-1848

Mailing address

4714 Gettysburg Rd
Legal Department
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other names 2

  • Physiotherapy Associates Doing business as
  • Physiotherapy Associates-Carrollton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030711000043 GA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2567379498 Practice locations: Carrollton, GA
O20180523002002 GA Part B Supplier - Clinic/Group Practice 2567379498 Receives reassigned benefits from 16 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tucker, GA; Stockbridge, GA; McDonough, GA; Lilburn, GA; Decatur, GA; Carrollton, GA; Lithia Springs, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376574764. Details of each certification follow.

  • CCN 116825 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 116825

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PHYSIOTHERAPY ASSOCIATES- CARROLLTON
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Sep 13, 2000
Last certification
Dec 10, 2025
Ownership / control type
Proprietary
Facility address
1004 Bankhead Highway, Suite B21
Carrollton, GA 30117

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1004 Bankhead Hwy
Ste A5
Carrollton, GA 30117
Phone (770) 834-5609

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1376574764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPARTMENT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 BANKHEAD HWY",
            "address_2": "BLDG A SUITE 5",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301171848",
            "telephone_number": "770-834-5609",
            "fax_number": "770-834-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX REHABILITATION-GEORGIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physiotherapy Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physiotherapy Associates-Carrollton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.