Active NPI
Lee Christopher Boyd, P.T.A.
- Physical Therapy Assistant
- Richland, GA
National Provider Identifier
1144354150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1396
- Practice address
- 297 Alston St
Richland, GA 31825-1403 - Phone
- (229) 887-0265
- Fax
- (229) 887-0267
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1396 | GA | Primary |
Addresses
Primary practice location
297 Alston St
Richland, GA 31825-1403
Mailing address
705 Partridge Dr
Albany, GA 31707-3086
Phone (229) 878-6926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1396 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Rehabilitation, Inc | Physical Therapy Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Assistant
- Richland, GA
- NPI 1295867752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1144354150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 PARTRIDGE DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317073086",
"telephone_number": "229-878-6926",
"fax_number": "877-803-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 ALSTON ST",
"city": "RICHLAND",
"state": "GA",
"postal_code": "318251403",
"telephone_number": "229-887-0265",
"fax_number": "229-887-0267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "LEE",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "1396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.