ADVANCED PHYSICAL THERAPY OF FAYETTE (NPI# 1346388725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346388725 |
| Entity Type | Organization |
| Organization Name | ADVANCED PHYSICAL THERAPY OF FAYETTE |
| Practice Address |
135 Brandywine Blvd Suite D Fayetteville GA 30214-1590 |
| Practice Telephone | 7704606285 |
| Practice Fax Number | 7704606512 |
| Mailing Telephone | 7704606285 |
| Mailing Fax Number | 7704606512 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RYAN CHRISTOPHER YOLITZ (PHYSICAL THERAPIST - OWNER) |
| Authorized Official Telephone | 7704606285 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
6402 | GA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447294228 | Advanced Physical Therapy of Fayette | Clinic/Center | 135 Brandywine Blvd, Suite D, Fayetteville, GA 30214-1590 | 2006-06-15 |
| Street Address |
135 BRANDYWINE BLVD SUITE D |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922063932 | Laura M. Yolitz | Physical Therapist | 135 Brandywine Blvd, Suite D, Fayetteville, GA 30214-1590 | 2006-04-20 |
| 1376822411 | Nicole Suzanne Bronner | Physical Therapist | 135 Brandywine Blvd, Suite D, Fayetteville, GA 30214-1590 | 2011-08-08 |
| 1790957868 | Tarra Taylor | Physical Therapist | 135 Brandywine Blvd, Suite D, Fayetteville, GA 30214-1590 | 2008-03-29 |
| 1447294228 | Advanced Physical Therapy of Fayette | Clinic/Center | 135 Brandywine Blvd, Suite D, Fayetteville, GA 30214-1590 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1578110813 | Encore Rehabilitation, Inc. | Clinic/Center | 1816 Huntsville Hwy, Fayetteville, TN 37334-3787 | 2019-08-21 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1710490818 | Marianna Clo Hendrycy | Clinic/Center | 1830 N Crossover Rd, Fayetteville, AR 72701-2725 | 2017-11-10 |
| 1427218106 | Agape Sports Performance Wellness and Rehab | Clinic/Center | 402 Beckett Lane, Fayetteville, GA 30214 | 2008-06-16 |
| 1801446711 | Encore Rehabilitation, Inc. | Clinic/Center | 1816 Huntsville Hwy, Fayetteville, TN 37334-3787 | 2019-09-13 |
| 1245713080 | Held Rehabilitation Services, LLC | Clinic/Center | 500 Lanier Ave W Ste 702, Fayetteville, GA 30214-7643 | 2018-09-07 |
| 1407343502 | Occupational Health Centers of North Carolina, PC | Clinic/Center | 1702 Owen Dr, Fayetteville, NC 28304-3419 | 2018-04-16 |
| 1851743009 | Rise Physical Therapy, P.a. | Clinic/Center | 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 | 2016-07-11 |
| 1427330737 | Select Physical Therapy | Clinic/Center | 2550 Ravenhill Dr, Fayetteville, NC 28303-9627 | 2011-09-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on ADVANCED PHYSICAL THERAPY OF FAYETTE.
| 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.