Organization Active NPI

Southern Therapy Services, Inc.

  • Physical Therapy Clinic/Center
  • Lagrange, GA
National Provider Identifier
1174605307
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOUTHERN THERAPY SERVICES, INC.
Practice address
1805 Vernon Rd
Suite a
Lagrange, GA 30240-4041
Phone
(706) 845-9383
Fax
(706) 845-9482
NPI assigned
Oct 19, 2006
Organization subpart
Yes
Parent organization
SOUTHERN THERAPY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Lisa Stephens
Title
DME Coordinator
Phone
(706) 845-9383

Specialties & licenses 1

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

Addresses

Primary practice location

1805 Vernon Rd
Suite a
Lagrange, GA 30240-4041

Mailing address

1805 Vernon Rd
Suite a
Lagrange, GA 30240-4041
Phone (706) 845-9383

Other names 1

  • Southern Therapy Services DME Other name

National Provider Directory

National Provider Directory
Tax ID family
Southern Therapy Servic3 organizations share this tax ID, including this one
Part of
Southern Therapy Servic

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1805 W Point Rd
Ste A
Lagrange, GA 30240
Phone (706) 845-9383

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1174605307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 VERNON RD",
            "address_2": "SUITE A",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404041",
            "telephone_number": "706-845-9383",
            "fax_number": "706-845-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 VERNON RD",
            "address_2": "SUITE A",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404041",
            "telephone_number": "706-845-9383",
            "fax_number": "706-845-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN THERAPY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN THERAPY SERVICES, INC.",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DME COORDINATOR",
        "authorized_official_telephone_number": "706-845-9383"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Therapy Services DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.