Atlas Physiotherapy, Inc
Organization Active NPI Physical Therapist · Pooler, GA
NPI 1609538362 · NPPES record last updated Aug 11, 2022
Key facts
- NPI
- 1609538362
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ATLAS PHYSIOTHERAPY, INC
- Practice address
- 100 Blue Moon Xing Ste 112
Pooler, GA 31322-9810 - Phone
- (954) 818-0669
- NPI assigned
- Oct 11, 2021
- Organization subpart
- No
Authorized official
- Name
- Michael Santo Giamanco, PT, DPT
- Title
- Owner
- Phone
- (912) 450-9600
Practitioners 4
-
Michael Santo Giamanco, PT, DPT
-
Joshua Caleb Golden, PT, DPT
-
Alexandra Weiler, DPT
-
Eric L Morante, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220525000519 | GA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5092192476 |
Receives reassigned benefits from 3 practitioners Practice locations: Pooler, GA |
National Provider Directory
Locations
100 Blue Moon Xing
Ste 112
Pooler, GA 31322
Phone (912) 450-9600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
100 Blue Moon Xing Ste 112
Pooler, GA 31322-9810
Mailing address
100 Blue Moon Xing Ste 112
Pooler, GA 31322-9810
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.