Organization Active NPI

Toccoa Physical Therapy, LLC

  • Physical Therapist
  • Toccoa, GA
National Provider Identifier
1124344114
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT000558 Issued in GA
Legal business name
TOCCOA PHYSICAL THERAPY, LLC
Practice address
1656 Falls Rd
Toccoa, GA 30577-2411
Phone
(770) 622-5344
Fax
(770) 622-5388
NPI assigned
Apr 15, 2010
Last updated
Apr 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Jay H Williams, PT
Title
Ceo
Phone
(706) 886-4680

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT000558 GA Primary
Pediatric Physical Therapist 2251P0200X PT000558 GA
Occupational Therapist 225X00000X PT000558 GA

Addresses

Primary practice location

1656 Falls Rd
Toccoa, GA 30577-2411

Mailing address

1656 Falls Rd
Toccoa, GA 30577-2411
Phone (706) 886-4680

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1124344114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 FALLS RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772411",
            "telephone_number": "706-886-4680",
            "fax_number": "706-886-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 FALLS RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772411",
            "telephone_number": "770-622-5344",
            "fax_number": "770-622-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOCCOA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-886-4680",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT000558",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT000558",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "PT000558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.