Middle Ga Orthopeadic

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

000450 Issued in GA

Legal business name

MIDDLE GA ORTHOPEADIC

Practice address

3051 Watson Blvd Ste 400
Warner Robins, GA 31093-8556

Phone

(478) 953-7556

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Brian Tharpe, COTA, CEAS, CFCE

Title

Functional Capacity Evaluator

Phone

(478) 953-7556

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154546786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 ROSA CT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312166737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 WATSON BLVD STE 400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938556",
            "telephone_number": "478-953-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GA ORTHOPEADIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THARPE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "FUNCTIONAL CAPACITY EVALUATOR",
        "authorized_official_telephone_number": "478-953-7556",
        "authorized_official_credential": "COTA, CEAS, CFCE"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "000450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middle Flint Area Community Service Board
• Middle Flint Area Community Service Board
• Middle Flint Behavioral Health and Wellness
• Middle Flint Behavioral Healthcare
• Middle Ga Center for Cosmetic Dentistry
• Middle Georgia Associates, LLC
• Middle Georgia Audiology LLC
• Middle Georgia Colorectal, LLC
• Middle Georgia Complete Care LLC
• Middle Georgia Diabetes Endocrinology Wellness Center, LLC

• Physical Therapy Clinic/Center in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.