Independent Physical Therapy Of Georgia, Llc in Ooltewah - Occupational Therapist
Independent Physical Therapy Of Georgia, Llc - NPI 1053363143
Independent Physical Therapy Of Georgia, Llc is a Occupational Therapist in Ooltewah, Tennessee. Independent Physical Therapy Of Georgia, Llc practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Independent Physical Therapy Of Georgia, Llc is 1053363143. The last update date is 2008-05-05.
Independent Physical Therapy Of Georgia, Llc's current location address is 8823 Production Ln, Ooltewah, Tennessee. You can contact this provider via phone number 4232387217 and fax number 4232383473. The mailing address for Independent Physical Therapy Of Georgia, Llc is 8823 Production Ln, Ooltewah, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Independent Physical Therapy Of Georgia, Llc |
|---|---|
| Address | 8823 Production Ln, Ooltewah, Tennessee |
| Phone Number | 4232387217 |
| Fax Number | 4232383473 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bage Troy |
| Telephone Number | 4232387217 |
NPI Number Detail
| NPI Number | 1053363143 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-05-05 |
Provider Mailing Address Detail
| Address | 8823 Production Ln |
|---|---|
| City | Ooltewah |
| State | Tennessee (TN) |
| Post Code | 373636511 |
| Phone Number | 4232387217 |
| Fax Number | 4232383473 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
|
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CK9205 | GA | RAILROAD MEDICARE PROVIDER # |
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What is the Independent Physical Therapy Of Georgia, Llc's 1053363143?
The Independent Physical Therapy Of Georgia, Llc's NPI (National Provider Identifier) Number is 1053363143. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Independent Physical Therapy Of Georgia, Llc located?
The Independent Physical Therapy Of Georgia, Llc is located at 8823 Production Ln, Ooltewah, TN 373636511.
What is the Independent Physical Therapy Of Georgia, Llc's area of specialization and corresponding taxonomy classification?
The Independent Physical Therapy Of Georgia, Llc's specialty field is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their specialties.
On what date did the Independent Physical Therapy Of Georgia, Llc receive its 1053363143 assignment from the Centers for Medicare & Medicaid Services?
The Independent Physical Therapy Of Georgia, Llc was assigned its 1053363143 by the Centers for Medicare & Medicaid Services on 2006-05-17.
When was the Independent Physical Therapy Of Georgia, Llc's information last updated?
The Independent Physical Therapy Of Georgia, Llc's information was last updated on 2008-05-05.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN