Unified Physical Therapy Solutions, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

UNIFIED PHYSICAL THERAPY SOLUTIONS, LLC

Practice address

220 Flounder Rd
Swainsboro, GA 30401-5305

Phone

(954) 257-1640

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Angela Renee' Powell, PT, DPT, DN CERT.

Title

Owner/Organizer

Phone

(954) 257-1640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1043782568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 NORTHSIDE DRIVE EAST",
            "address_2": "SUITE 160 #336",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FLOUNDER RD",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304015305",
            "telephone_number": "954-257-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED PHYSICAL THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "RENEE'",
        "authorized_official_title_or_position": "OWNER/ORGANIZER",
        "authorized_official_telephone_number": "954-257-1640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, DN CERT."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Swainsboro, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.