NPIMap

Organization Active NPI

Trinity Therapy Services Inc

  • Rehabilitation Clinic/Center
  • Hazlehurst, GA
National Provider Identifier
1184817462
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
TRINITY THERAPY SERVICES INC
Practice address
124 E Jarman St Ste B
Hazlehurst, GA 31539-6133
Phone
(912) 375-2009
Fax
(912) 379-0081
NPI assigned
Aug 21, 2007
Last updated
Oct 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Mr. Andrew C LawrenceNPI 1760675805
Title
Owner
Phone
(912) 375-2009

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X GA Primary
Physical Therapist 225100000X GA
Physical Therapy Assistant 225200000X GA
Occupational Therapist 225X00000X GA

Addresses

Primary practice location

124 E Jarman St Ste B
Hazlehurst, GA 31539-6133

Mailing address

PO Box 1005
Hazlehurst, GA 31539-1005
Phone (912) 375-2009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071022000391 GA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6305932328 Practice locations: McRae, GA; Hazlehurst, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184817462. Details of each certification follow.

  • CCN 116872 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 116872

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TRINITY THERAPY SERVICES INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 6, 2007
Last certification
Nov 7, 2023
Ownership / control type
Proprietary
Facility address
124 East Jarman Street Suites B & C
Hazlehurst, GA 31539

National Provider Directory

National Provider Directory

Locations

124 E Jarman St
Ste B
Hazlehurst, GA 31539
Phone (912) 375-2009

124 E Jarman St
Ste C
Hazlehurst, GA 31539
Phone (912) 375-2009

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1184817462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315391005",
            "telephone_number": "912-375-2009",
            "fax_number": "912-379-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E JARMAN ST STE B",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396133",
            "telephone_number": "912-375-2009",
            "fax_number": "912-379-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-375-2009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlehurst, GA

Sources for this page

Verify at the official NPI Registry.