Dr and Associates Rehabilitation, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008341 Issued in GA

Legal business name

DR AND ASSOCIATES REHABILITATION, LLC

Practice address

1141 Ga Highway 91 S
Colquitt, GA 39837-7415

Phone

(229) 758-3978

NPI assigned

Sep 17, 2006

Last updated

Aug 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Deon Foster

Title

Co-Owner

Phone

(229) 758-3978

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamaca Rashad Coachman, DPT

  • Physical Therapist
  • Donalsonville, GA
  • NPI 1124104096
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1033216601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 GA HIGHWAY 91 S",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398377415",
            "telephone_number": "229-758-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 GA HIGHWAY 91 S",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398377415",
            "telephone_number": "229-758-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AND ASSOCIATES REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DEON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "229-758-3978"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008341",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA002002",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA002108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cozy Corner Adult Day Center LLC
• Oneil Culver, MD
• Anand Dave, MD
• Mac Bradley Davis, CRNA
• Ketan Desai, MD
• Charles J Fetner, CRNA
• Brandy Smith Floyd, PA
• Four C, LLC (Grow Drug Co)
• Ivanshi A Gondalia, MD
• Wendy Page Grimes, FNP-C

• Physical Therapist in Colquitt, GA
• Providers in Colquitt, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.