PHYSIOTHERAPY ASSOCIATES INC (NPI# 1639254550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639254550 |
| Entity Type | Organization |
| Organization Name | PHYSIOTHERAPY ASSOCIATES INC |
| Other Organization Name | PHYSIO-COLLEGE PARK |
| Practice Address |
1669 Phoenix Pkwy Suite 102 College Park GA 30349-5462 |
| Mailing Address |
4714 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7709071023 |
| Practice Fax Number | 7709075608 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-11-12 |
| Authorized Official Name | MR. 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-College Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659746766 | Physiotherapy Associates Inc | Clinic/Center | 3111 Gordon Dr, Sioux City, IA 51105-3730 | 2015-12-01 |
| 1962876060 | Physiotherapy Associates Inc | Clinic/Center | 1409 Veterans Dr., Suite 102, Omaha, NE 68023 | 2015-11-30 |
| 1518334986 | Physiotherapy Associates Inc | Clinic/Center | 3910 W Lisbon Ave, Milwaukee, WI 53208-1834 | 2015-09-01 |
| 1396122529 | Physiotherapy Associates Inc | Clinic/Center | 95 Grand Heron Drive, Panama City Beach, FL 32407-2549 | 2015-04-27 |
| 1649608829 | Physiotherapy Associates Inc | Clinic/Center | 7001 E Williams Field Rd, Mesa, AZ 85212-6032 | 2013-10-24 |
| 1801189121 | Physiotherapy Associates Inc | Clinic/Center | 1739 Allen St, Springfield, MA 01118-1805 | 2011-05-19 |
| 1740439694 | Physiotherapy Associates Inc | Clinic/Center | 223 Elk Avenue, Suite 201, Crested Butte, CO 81224 | 2008-09-16 |
| 1720236300 | Physiotherapy Associates Inc | Clinic/Center | 9325 Dorchester St, Ste 127, Highlands Ranch, CO 80129-2520 | 2008-09-08 |
| 1518113547 | Physiotherapy Associates Inc | Clinic/Center | 4877 Highway 589, Sumrall, MS 39482-0152 | 2008-08-11 |
| 1104085240 | Physiotherapy Associates Inc | Clinic/Center | 511 West Alexander Street, Plant City, FL 33563-7163 | 2008-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Physiotherapy Associates Inc. | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Virginia Business Entities | PHYSIOTHERAPY ASSOCIATES INC. | 4714 Gettysburg Rd, Mechanicsburg, Pennsylvania 17055-4325 |
| Street Address |
1669 PHOENIX PKWY SUITE 102 |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30349-5462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154552529 | Matthew Kooy | Physical Therapist | 1669 Phoenix Pkwy, Ste. 102, College Park, GA 30349-5464 | 2009-08-04 |
| 1114179736 | Eric Lynne Steere | Physical Therapist | 1669 Phoenix Pkwy, Suite 102, College Park, GA 30349-5464 | 2008-10-14 |
| 1700055241 | Chaka Merritt | Physical Therapist | 1669 Phoenix Pkwy, Suite 102, College Park, GA 30349-5464 | 2008-02-28 |
| 1306056577 | Francis Mary Hodgdon | Physical Therapist | 1669 Phoenix Pkwy, Suite 102, College Park, GA 30349-5464 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760714299 | Spectrum Habilitation Service Inc. | Clinic/Center | 310 Magnolia Walk Lane, College Park, GA 30349 | 2010-02-09 |
| 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 | ||||
| City | COLLEGE PARK |
| Zip Code | 30349 |
Please comment or provide details below to improve the information on PHYSIOTHERAPY ASSOCIATES INC.
| 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.