PROFESSIONAL THERAPY SERVICES, LLC (NPI# 1578902227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578902227 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL THERAPY SERVICES, LLC |
| Other Organization Name | PRO THERAPY - WINDER |
| Practice Address |
916 Loganville Hwy Ste 1130 Bethlehem GA 30620-2144 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 4046719525 |
| Practice Fax Number | 4046719526 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |
| Authorized Official Name | KILEY RUSSELL (MANAGER OF CLAIMS) |
| 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 - Winder | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
916 LOGANVILLE HWY STE 1130 |
| City | BETHLEHEM |
| State | GA |
| Zip Code | 30620-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807732 | Julie Anne Trawick | Occupational Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 | 2020-09-25 |
| 1376155135 | Jessica Prince | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 | 2020-08-21 |
| 1235757444 | Wilton Bradley Miles | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 | 2020-07-14 |
| 1679052732 | Lora Elizabeth Walker | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 | 2018-08-09 |
| 1871088997 | Stephanie Grace Bair | Occupational Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2018-06-30 |
| 1588159958 | John David Williams | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2018-06-27 |
| 1245741826 | Kimberly Keel Thorne | Physical Therapy Assistant | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 | 2017-10-23 |
| 1548784317 | Brent Joseph Davis | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 | 2017-08-02 |
| 1881137164 | Andrew Ryan Martin | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 | 2016-11-18 |
| 1649656356 | Kimberly Christine Thomas | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2015-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730747528 | Georgia Dental Professionals, PC | Dentist | 920 Loganville Hwy Ste 100, Bethlehem, GA 30620 | 2019-06-05 |
| 1518445683 | Bethlehem Dentistry, LLC | Dentist | 255 Gateway Drive, Suite 200, Bethlehem, GA 30620 | 2018-08-01 |
| 1881621233 | Manan I Shah | Ophthalmology | 14 Vision Street, Suite 100, Bethlehem, GA 30620 | 2006-06-28 |
| 1023460938 | Virginia Persons Labella | Nurse Practitioner | 340 Exchange Blvd Ste 130, Bethlehem, GA 30620 | 2016-07-05 |
| 1336468131 | Manan I Shah Md PC | Ophthalmology | 14 Vision Street, Suite 100, Bethlehem, GA 30620 | 2010-05-19 |
| 1265998454 | Dawn Crook | Community/Behavioral Health | 509 Harry Mccarty Rd, Bethlehem, GA 30620-1707 | 2019-02-13 |
| 1447667233 | Susan Hardy Leighty | Nurse Practitioner | 340 Exchange Blvd Ste 130, Bethlehem, GA 30620-1759 | 2014-07-14 |
| 1518905827 | Michael K Sopt | Family Medicine | 340 Exchange Blvd Ste 120, Bethlehem, GA 30620-1759 | 2006-06-02 |
| 1386626059 | Oscar T. Cassity | Emergency Medicine | 340 Exchange Blvd, Bethlehem, GA 30620-1759 | 2005-11-17 |
| 1295256741 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 340 Exchange Blvd, Bethlehem, GA 30620-1759 | 2017-07-05 |
| Find all providers in zip 30620 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841392362 | Core Physical Therapy Inc | Clinic/Center | 3201 Highfield Dr Ste G, Bethlehem, PA 18020-1113 | 2006-09-04 |
| 1447573134 | St. Luke's Hospital Bethlehem | Clinic/Center | 2301 Cherry Ln, Bethlehem, PA 18015-9540 | 2010-03-09 |
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|---|---|---|---|---|
| 1982205159 | Thrive Therapy and Wellness Services LLC | Clinic/Center | 106 Mims Rd, Sylvania, GA 30467-1995 | 2020-11-04 |
| 1851990063 | On The Move Massage & Physical Therapy | Clinic/Center | 7454 Silver Arrow Trl, Austell, GA 30168-2401 | 2020-10-19 |
| 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.