Organization Active NPI

Deltacare, LC

  • Ergonomics Physical Therapist
  • Columbus, GA
National Provider Identifier
1174388284
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ergonomics Physical TherapistTaxonomy code 2251E1200X
Legal business name
DELTACARE, LC
Practice address
6201 Veterans Pkwy Ste R
Columbus, GA 31909-6221
Phone
(706) 225-2525
Fax
(706) 225-7185
NPI assigned
Feb 19, 2024
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Mr. Stephen Young, PTNPI 1770527152
Title
Owner
Phone
(706) 225-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251E1200X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

6201 Veterans Pkwy Ste R
Columbus, GA 31909-6221

Mailing address

6201 Veterans Pkwy Ste R
Columbus, GA 31909-6221
Phone (706) 225-2525

Other names 1

  • DeltaCare Other name

National Provider Directory

National Provider Directory

Locations

6201 Veterans Pkwy
Ste R
Columbus, GA 31909
Phone (706) 225-2525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1174388284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 VETERANS PKWY STE R",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096221",
            "telephone_number": "706-225-2525",
            "fax_number": "706-225-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 VETERANS PKWY STE R",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096221",
            "telephone_number": "706-225-2525",
            "fax_number": "706-225-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTACARE, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-225-2525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeltaCare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.