NPIMap

Organization Active NPI

Matrix Rehabilitation-Georgia Inc

Doing business as Physiotherapy Associates

  • Physical Therapy Clinic/Center
  • Lilburn, GA
National Provider Identifier
1639115272
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-Lilburn
Practice address
4024 Lawrenceville Hwy NW
Suite 20
Lilburn, GA 30047-2805
Phone
(770) 931-8686
Fax
(770) 931-0462
NPI assigned
Jun 21, 2006
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

4024 Lawrenceville Hwy NW
Suite 20
Lilburn, GA 30047-2805

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-Lilburn Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030714000011 GA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2567379498 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Decatur, GA; McDonough, GA; Lilburn, GA

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
Tax ID family
Matrix Rehabilitation-Georgia Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

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

Locations

4024 Lawrenceville Hwy NW
Ste 20
Lilburn, GA 30047
Phone (770) 931-8686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1639115272",
    "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": "4024 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE 20",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472805",
            "telephone_number": "770-931-8686",
            "fax_number": "770-931-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX REHABILITATION-GEORGIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "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-Lilburn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.