PROFESSIONAL THERAPY SERVICES, LLC (NPI# 1093819450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093819450 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL THERAPY SERVICES, LLC |
| Other Organization Name | PRO THERAPY |
| Practice Address |
3640 Mundy Mill Rd Ste 102b Gainesville GA 30504-8226 |
| Mailing Address |
8823 Production Lane Ooltewah TN 37363-6511 |
| Practice Telephone | 7702878821 |
| Practice Fax Number | 7702878797 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2010-06-04 |
| NPI Deactivation Date | 12/15/2006 |
| NPI Reactivation Date | 2008-05-27 |
| Authorized Official Name | TROY BAGE (PRESIDENT) |
| Authorized Official Telephone | 4232387217 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pro Therapy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578902227 | Professional Therapy Services, LLC | Clinic/Center | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2144 | 2013-06-17 |
| 1255678793 | Professional Therapy Services, LLC | Clinic/Center | 6625 Highway 53 E Ste 500, Dawsonville, GA 30534-6838 | 2013-01-03 |
| 1043524762 | Professional Therapy Services, LLC | Clinic/Center | 200 Highway 64 W Ste A-2, Hayesville, NC 28904-7070 | 2010-08-05 |
| 1619100435 | Professional Therapy Services, LLC | Occupational Therapist | 1 Caroline Ct, Pilesgrove, NJ 08098-2741 | 2009-08-27 |
| 1174790778 | Professional Therapy Services, LLC | Clinic/Center | 655 Jesse Jewel Pkwy Ste C, Gainesville, GA 30501-3854 | 2008-05-13 |
| 1730302985 | Professional Therapy Services, LLC | Speech-Language Pathologist | 895 Coleman Ave, Orangeburg, SC 29115-3742 | 2007-04-10 |
| 1275635625 | Professional Therapy Services, LLC | Occupational Therapist | 1100 Sherwood Park Dr Ne Ste 140, Gainesville, GA 30501-3426 | 2006-09-05 |
| 1508024985 | Professional Therapy Services, LLC | Occupational Therapist | 8823 Production Ln, Ooltewah, TN 37363-6511 | 2008-06-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PROFESSIONAL THERAPY SERVICES, LLC | 21828 Se 296th St, Black Diamond, WA 98010-1275 |
| Street Address |
3640 MUNDY MILL RD STE 102B |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30504-8226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092191 | Christopher Dove | Physical Therapist | 3640 Mundy Mill Rd Ste 102b, Gainesville, GA 30504-8226 | 2020-07-31 |
| 1982264347 | Daniel Lee Keller | Physical Therapist | 3640 Mundy Mill Rd Ste 102b, Gainesville, GA 30504-8226 | 2019-06-18 |
| 1124583620 | Brooke Anne Smith | Occupational Therapist | 3640 Mundy Mill Rd Ste 102b, Gainesville, GA 30504-8226 | 2019-02-08 |
| 1174863641 | Michael Cody Malone | Physical Therapist | 3640 Mundy Mill Rd Ste 102b, Gainesville, GA 30504-8226 | 2013-02-21 |
| 1154672061 | Leslie Anne Alvarez | Specialist/Technologist | 3640 Mundy Mill Rd Ste 102b, Gainesville, GA 30504-8226 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1710541461 | Lauren Brooke Taylor | Occupational Therapist | 2900 Mcever Road, Gainesville, GA 30504 | 2019-04-29 |
| 1801023700 | Brenda Levartha Hamilton | Registered Nurse | 3905 Mabry Rd., Gainesville, GA 30504 | 2009-06-18 |
| 1083757645 | Charles Kent Yarbrough | Optometrist | 400 Shallowford Road, Vision Center, Gainesville, GA 30504 | 2007-02-14 |
| 1881746170 | Lisa S. Ralston | Occupational Therapist | 3038 St. Charles Ave., 3038 St. Charles Ave., Gainesville, GA 30504 | 2007-01-17 |
| 1326140690 | David Richards Adamson | Physical Therapist | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-09-05 |
| 1326057621 | Henry Joseph Lewis IIi | Legal Medicine | 5606 Captains Ct, Gainesville, GA 30504 | 2006-08-05 |
| 1992164032 | Hall County Endoscopy Center LLC | Clinic/Center | 1955 Textile Way, Gainesville, GA 30504 | 2016-02-17 |
| 1982902276 | James Minton | Pharmacist | 3640 Mundy Mill Road, Gainesville, GA 30504 | 2011-03-10 |
| 1881758969 | Donna Marie Colavecchio | Occupational Therapy Assistant | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-12-21 |
| Find all providers in zip 30504 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968174 | Thompson Physical Therapy, Pllc | Clinic/Center | 4620 Nw 39th Ave Ste B, Gainesville, FL 32606-5952 | 2017-08-15 |
| 1679957344 | Mary T. Thigpen | Clinic/Center | 301 Main Street Sw, Brenau University, Department of Physical Therapy, Gainesville, GA 30501 | 2015-07-13 |
| 1669517488 | Bongsam Choi | Clinic/Center | 11504 Nw 15th Ln, Gainesville, FL 32606-1400 | 2007-02-20 |
| 1508489584 | Telerehab Physical Therapy, LLC | Clinic/Center | 14265 Ladderbacked Dr, Gainesville, VA 20155-5922 | 2020-05-25 |
| 1609436997 | Phoenix Physical Therapy, LLC | Clinic/Center | 507 Nw 60th St Ste A, Gainesville, FL 32607-6027 | 2019-06-18 |
| 1932647492 | American Wellness & Physio, LLC | Clinic/Center | 14366 Broadwinged Dr, Gainesville, VA 20155-5929 | 2017-02-05 |
| 1558744656 | Malcom Randall Vamc | Clinic/Center | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2015-07-07 |
| 1205230174 | Caretenders Visiting Services of Gainesville, LLC | Clinic/Center | 8109 Nw 27th Blvd, Caretenders Health and Rehab, Gainesville, FL 32606-8636 | 2014-10-21 |
| 1386826667 | Holistic Therapeutics of Gainesville LLC | Clinic/Center | 5200 W Newberry Rd, Gainesville, FL 32607-6104 | 2007-11-29 |
| 1184793978 | Physiotherapy Associates Inc | Clinic/Center | 1488 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3803 | 2006-11-07 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30504 |
Please comment or provide details below to improve the information on PROFESSIONAL THERAPY SERVICES, LLC.
| 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.