Milton Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MILTON PHYSICAL THERAPY, LLC

Doing business as

Crabapple Physical Therapy

Practice address

12220 Birmingham Hwy
Bldg10 / Ste C
Milton, GA 30004-4186

Phone

(770) 826-0440

NPI assigned

Mar 28, 2017

Last updated

Mar 28, 2017By 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

Kim Chastain, DPT

Title

Owner

Phone

(770) 826-0440

Specialties & licenses 1

Addresses

Other names 1

• Crabapple Physical Therapy Doing business as

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1043742281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 WOOD DUCK RD",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 BIRMINGHAM HWY",
            "address_2": "BLDG10 / STE C",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044186",
            "telephone_number": "770-826-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "CHASTAIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-826-0440",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crabapple Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cara McDonald
• Darlene Alexandra McNulty, D.O.
• Anne Merrill, MFT
• Cobie C Miley, M.A. BCBA, LBA
• Milton Pediatric Dentistry and Orthodontics Corp (Dentistry at MIlton)
• Ethan Minkert
• Katherine Mitchell, RN
• Jemicah Mosby
• Nirupama Arkonam Natarajan, MD
• Jasmine Thao Nguyen, FNP-BC

• Physical Therapy Clinic/Center in Milton, GA
• Providers in Milton, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.