EAST ATHENS PHYSICAL THERAPY INC (NPI# 1326082611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326082611 |
Entity Type | Organization |
Organization Name | EAST ATHENS PHYSICAL THERAPY INC |
Practice Address |
665 Gaines School Rd Athens GA 30605-3127 |
Practice Telephone | 7063698115 |
Mailing Telephone | 7063698115 |
Enumeration Date | 2006-06-16 |
Last Update Date | 2016-06-27 |
Authorized Official Name | JAMES M HINZMAN (OWNER) |
Authorized Official Telephone | 7063698115 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT006968 | GA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 300044655A | 05 |
Street Address |
665 GAINES SCHOOL RD |
City | ATHENS |
State | GA |
Zip Code | 30605-3127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154980340 | Rachel Nation | Physical Therapist | 665 Gaines School Rd, Athens, GA 30605-3127 | 2019-06-11 |
1598289852 | Charles E Jones | Physical Therapist | 665 Gaines School Rd, Athens, GA 30605-3127 | 2017-07-28 |
1952847030 | Sarah Littlefield | Physical Therapist | 665 Gaines School Rd, Athens, GA 30605-3127 | 2017-01-12 |
1831542950 | Annabeth G Norboge | Physical Therapy Assistant | 665 Gaines School Rd, Athens, GA 30605-3127 | 2016-07-14 |
1124437355 | Stephanie Woodall | Physical Therapist | 665 Gaines School Rd, Athens, GA 30605-3127 | 2014-08-13 |
1184978439 | Carey Crowe | Physical Therapy Assistant | 665 Gaines School Rd, Athens, GA 30605-3127 | 2012-11-07 |
1568728699 | Michael Stahl | Physical Therapy Assistant | 665 Gaines School Rd, Athens, GA 30605-3127 | 2012-04-03 |
1508097643 | Sabrina Ann Wise | Physical Therapy Assistant | 665 Gaines School Rd, Athens, GA 30605-3127 | 2009-08-06 |
1003060666 | Mary W Johnson | Physical Therapist | 665 Gaines School Rd, Athens, GA 30605-3127 | 2008-11-10 |
1124147343 | James M Hinzman | Physical Therapist | 665 Gaines School Rd, Athens, GA 30605 | 2007-03-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
1245571272 | Optimum Medical Healthcare | Durable Medical Equipment & Medical Supplies | 1715 Cedar Shoals Drive, Athens, GA 30605 | 2013-03-15 |
1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
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Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
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1831523604 | Agilitas Usa, Inc. | Clinic/Center | 22083 Us Highway 72 Ste P, Athens, AL 35613-2666 | 2013-08-28 |
1780026864 | Lisa Germain | Clinic/Center | 755 Epps Bridge Pkwy, Athens, GA 30606-6987 | 2013-07-18 |
1649527169 | Rehabworks, LLC | Clinic/Center | 915 Congress Pkwy N, Athens, TN 37303-1740 | 2012-08-14 |
1669797395 | Mountain River Physical Therapy LLC | Clinic/Center | 2101 E State St, Suite C, Athens, OH 45701-2143 | 2010-04-06 |
1861527954 | Encore Rehabilitation Inc | Clinic/Center | 22423 Us Highway 72, Suite B, Athens, AL 35613-2662 | 2007-02-22 |
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1659979086 | Mvp Physio Dr. | Clinic/Center | 123 Umiya Nagar Cir, Macon, GA 31206-5401 | 2020-10-16 |
1972100865 | Resilient Physio, LLC | Clinic/Center | 790 West Ave, Cartersville, GA 30120-3402 | 2020-10-05 |
1205441987 | Fortitude Movement & Strength Inc. | Clinic/Center | 5300 Peachtree Rd Unit 2508, Atlanta, GA 30341-2457 | 2020-09-10 |
1376151001 | Mother and Baby Wellness Collective, LLC | Clinic/Center | 136 Millstone Way, Canton, GA 30115-7270 | 2020-07-20 |
1225646821 | Innovative Therapeutic Solutions, LLC | Clinic/Center | 360 Pharr Rd Ne Apt 404, Atlanta, GA 30305-2391 | 2020-07-20 |
1669090544 | Active Body Physiotherapy | Clinic/Center | 2968 Ask Kay Dr Se Ste B, Smyrna, GA 30082-2304 | 2020-07-08 |
1487270914 | Docjay Physical Therapy | Clinic/Center | 6740 Shannon Pkwy Ste 14, Union City, GA 30291-2061 | 2020-06-20 |
1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
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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.