Active NPI
Toccoa Physical Therapy, LLC
- Physical Therapist
- Toccoa, GA
National Provider Identifier
1124344114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT000558
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.