Organization Active NPI

From the Ground Up Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Saint Marys, GA
National Provider Identifier
1164093803
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FROM THE GROUND UP THERAPY AND WELLNESS
Practice address
2322 Osborne Rd
Saint Marys, GA 31558-9189
Phone
(912) 344-9644
NPI assigned
Jul 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Hannah Johnson, PT, DPTNPI 1659770097
Title
Physical Therapist
Phone
(912) 674-6640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2322 Osborne Rd
Saint Marys, GA 31558-9189

Mailing address

468 Thoroughbred Rd
Woodbine, GA 31569-2679
Phone (912) 674-6640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210804002937 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7517361165 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbine, GA

National Provider Directory

National Provider Directory

Locations

2322 Osborne Rd
Saint Marys, GA 31558
Phone (912) 344-9644

Practitioners & affiliated clinicians

Practitioners 2

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": "1625356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1164093803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 THOROUGHBRED RD",
            "city": "WOODBINE",
            "state": "GA",
            "postal_code": "315692679",
            "telephone_number": "912-674-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 OSBORNE RD",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589189",
            "telephone_number": "912-344-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROM THE GROUND UP THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-04",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "912-674-6640",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.