PHYSIO AT HAMMONDS CENTRE LLC (NPI# 1629455159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629455159 |
| Entity Type | Organization |
| Organization Name | PHYSIO AT HAMMONDS CENTRE LLC |
| Other Organization Name | PHYSIO |
| Practice Address |
4523 Forsyth Rd Macon GA 31210-4527 |
| Mailing Address |
4714 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 4782547010 |
| Practice Fax Number | 4782547012 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2018-10-29 |
| Authorized Official Name | MICHAEL E TARVIN (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Physio | Doing Business As Name - Organization |
| Street Address |
4523 FORSYTH RD |
| City | MACON |
| State | GA |
| Zip Code | 31210-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033274337 | Teresa Long Pierce | Physical Therapist | 4523 Forsyth Rd, Macon, GA 31210-4527 | 2006-12-27 |
| 1235562935 | Kristen Turchi Bettis | Physical Therapist | 4523 Forsyth Rd, Macon, GA 31210-4527 | 2013-08-16 |
| 1437455078 | Lee Hawkins Glover | Physical Therapy Assistant | 4523 Forsyth Rd, Macon, GA 31210-4527 | 2011-01-30 |
| 1609107614 | The Hammonds Centre for Orthopaedic and Sports Physical Therapy, LLC | Physical Therapist | 4523 Forsyth Rd, Macon, GA 31210-4527 | 2010-01-15 |
| 1588992887 | William Matthew Hammonds | Physical Therapist | 4523 Forsyth Rd, Macon, GA 31210-4527 | 2009-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972030070 | Orthogeorgia Rehab Services | Clinic/Center | 3708 Northside Dr, Macon, GA 31210-2404 | 2017-05-19 |
| 1376917591 | Function & Health Professionals LLC | Clinic/Center | 685 Arlington Pl, Macon, GA 31201-1772 | 2015-11-27 |
| 1831406305 | United Rehab Inc. | Clinic/Center | 6190 Peake Rd, Macon, GA 31220-3956 | 2010-09-07 |
| 1538476064 | United Rehab Inc | Clinic/Center | 2255 Anthony Rd, Macon, GA 31204-5823 | 2010-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763150 | Esop Rehabilitation, LLC | Clinic/Center | 1699 Highway 124 N Ste 100, Snellville, GA 30078-7921 | 2020-06-08 |
| 1912566811 | Tattnall Hospital Company, LLC | Clinic/Center | 10200 Ford Ave Ste 105, Richmond Hill, GA 31324-8824 | 2019-06-13 |
| 1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
| 1457874976 | Effingham Rehab Services, Inc | Clinic/Center | 111 Jazie Dr Ste E, Savannah, GA 31410-1908 | 2017-07-18 |
| 1770006272 | Effingham Rehab Services, Inc | Clinic/Center | 22 W Oglethorpe Ave, Savannah, GA 31401-3702 | 2017-07-18 |
| 1588187090 | Effingham Rehab Services, Inc | Clinic/Center | 475 S Main St Ste B, Hinesville, GA 31313-1365 | 2017-07-18 |
| 1447773908 | Effingham Rehab Services, Inc | Clinic/Center | 2709 Us Highway 17 Ste 2a, Richmond Hill, GA 31324-3795 | 2017-07-17 |
| 1437689288 | Dr. Peggy Marbach Vestibular Rehab Specialist, LLC | Clinic/Center | 6849 Peachtree Dunwoody Road, Building B-4, Suite #100, Sandy Springs, GA 30328-6776 | 2017-06-14 |
| 1699207274 | Vestibular Linc LLC | Clinic/Center | 921 Harmony Rd Ste 2, Eatonton, GA 31024-9618 | 2017-04-01 |
| 1346784113 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1600 Ballewtown Rd, C/o Blue Ridge Assisted Living, Blue Ridge, GA 30513-5337 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
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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.