NPIMap

Organization Active NPI

Physical Medicine Injury Center, LLC

  • Chiropractor
  • Byron, GA
National Provider Identifier
1114396769
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007601 Issued in GA
Legal business name
PHYSICAL MEDICINE INJURY CENTER, LLC
Practice address
218 Highway 49 N
Suite C
Byron, GA 31008
Phone
(478) 956-2388
Fax
(478) 956-2389
NPI assigned
Sep 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Curt Blabaum, DCNPI 1043375512
Title
Dr.
Phone
(478) 956-2388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHIR007601 GA Primary

Addresses

Primary practice location

218 Highway 49 N
Suite C
Byron, GA 31008

Mailing address

218 Highway 49 N
Suite C
Byron, GA 31008
Phone (478) 956-2388

National Provider Directory

National Provider Directory

Locations

218 GA Highway 49 N
Ste C
Byron, GA 31008
Phone (478) 956-2388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1114396769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 HIGHWAY 49 N",
            "address_2": "SUITE C",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "31008",
            "telephone_number": "478-956-2388",
            "fax_number": "478-956-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 HIGHWAY 49 N",
            "address_2": "SUITE C",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "31008",
            "telephone_number": "478-956-2388",
            "fax_number": "478-956-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "BLABAUM",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "478-956-2388",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.