PROFESSIONAL THERAPY SERVICES, LLC (NPI# 1174790778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174790778 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL THERAPY SERVICES, LLC |
| Other Organization Name | PRO THERAPY |
| Practice Address |
655 Jesse Jewel Pkwy Ste C Gainesville GA 30501-3854 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 7705399001 |
| Practice Fax Number | 7705399217 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2010-06-03 |
| 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 | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
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 |
| 1730302985 | Professional Therapy Services, LLC | Speech-Language Pathologist | 895 Coleman Ave, Orangeburg, SC 29115-3742 | 2007-04-10 |
| 1093819450 | Professional Therapy Services, LLC | Clinic/Center | 3640 Mundy Mill Rd Ste 102b, Gainesville, GA 30504-8226 | 2006-09-07 |
| 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 |
655 JESSE JEWEL PKWY STE C |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| 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 | 30501 |
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.