Individual provider Active NPI

Cathleen Vines, DPT

  • Physical Therapist
  • St Simons Island, GA
National Provider Identifier
1023883006
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010257 Issued in GA
Practice address
212 Retreat VLG
Saint Simons Island, GA 31522-2403
Phone
(912) 638-1444
Fax
(912) 638-0077
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT010257 GA Primary

Addresses

Primary practice location

212 Retreat VLG
Saint Simons Island, GA 31522-2403

Mailing address

PO Box 949
Rome, GA 30162-0949
Phone (912) 638-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103003499 GA Practitioner - Physical Therapist in Private Practice 8921459918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients

Locations

5775 Old Winder Hwy
Braselton, GA 30517
Phone (678) 761-6866

665 Scranton Rd
Ste 3
Brunswick, GA 31520
Phone (912) 280-9205

136 W Belmont Dr
Ste 12
Calhoun, GA 30701
Phone (706) 625-0662

2045 Centre Stone Ct
Ste B
Columbus, GA 31904
Phone (706) 257-4189

215 First St
Folkston, GA 31537
Phone (912) 496-7428

620 J L White Dr
Ste 110
Jasper, GA 30143
Phone (706) 692-9080

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

100 Lindsey Ln
Ste A
Saint Marys, GA 31558
Phone (912) 729-1333

212 Retreat Vlg
St Simons Island, GA 31522
Phone (912) 638-1444

11638 Highway 27
Ste 1
Summerville, GA 30747
Phone (706) 857-6366

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1023883006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "912-638-1444",
            "fax_number": "912-638-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 RETREAT VLG",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222403",
            "telephone_number": "912-638-1444",
            "fax_number": "912-638-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINES",
        "first_name": "CATHLEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.