NPIMap

Organization Active NPI

Excel Physical Therapy Inc

  • Physical Therapist
  • Hampton, GA
National Provider Identifier
1154546471
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004026 Issued in GA
Legal business name
EXCEL PHYSICAL THERAPY INC
Practice address
1883 McDonough Road
BLDG 200 Suite C
Hampton, GA 30228-3517
Phone
(770) 603-7050
Fax
(770) 603-7049
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Mr. Jeffrey Allen Galloway, MPT, OT
Title
Owner
Phone
(404) 229-5754

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT004026 GA Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

1883 McDonough Road
BLDG 200 Suite C
Hampton, GA 30228-3517

Mailing address

1883 McDonough Road
BLDG 200 Suite C
Hampton, GA 30228-3517
Phone (770) 603-7050

Other names 1

  • EXCEL PHYSICAL THERAPY INC Other name

National Provider Directory

National Provider Directory

Locations

1883 McDonough Rd
Bldg 200-C
Lovejoy, GA 30228
Phone (770) 603-7050

Practitioners & affiliated clinicians

Practitioners 8

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1154546471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 MCDONOUGH ROAD",
            "address_2": "BLDG 200 SUITE C",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283517",
            "telephone_number": "770-603-7050",
            "fax_number": "770-603-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 MCDONOUGH ROAD",
            "address_2": "BLDG 200 SUITE C",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283517",
            "telephone_number": "770-603-7050",
            "fax_number": "770-603-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-229-5754",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT, OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004026",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCEL PHYSICAL THERAPY INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.