Physio Lab Physical Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PHYSIO LAB PHYSICAL THERAPY

Practice address

107 Peacock Dr
Warner Robins, GA 31088-3637

Phone

(478) 919-6835

NPI assigned

Jan 18, 2011

Organization subpart

Yes

Parent organization

CORVIC GROUP LLCAs reported in NPPES

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

Authorized official

Name

Simon Victor Lloyd Watson

Title

Owner

Phone

(478) 919-6835

Specialties & licenses 1

Addresses

Tax ID family

Corvic Group2 organizations share this tax ID, including this one

Part of

Corvic Group

Other organizations with this tax ID 1

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

• Corvic Group

  dba Physio Lab

  • Physical Therapy Clinic/Center
  • Warner Robins, GA
  • NPI 1477858421
  NPD tax ID

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.

• Corvic Group

  dba Physio Lab

  • Physical Therapy Clinic/Center
  • Warner Robins, GA
  • NPI 1477858421
  NPPES parent name

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1194020412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PEACOCK DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883637",
            "telephone_number": "478-919-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PEACOCK DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883637",
            "telephone_number": "478-919-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO LAB PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORVIC GROUP LLC",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "VICTOR LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-919-6835"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Center Community Service Board (Phoenix Center BHS)
• Phoenix Health Center
• Physician Consultants of Georgia Warner Robins LLC (Warner Robins Vascular Center)
• Physician Disability Examination Services Inc (Dania Beach West Medicine and Rehab)
• Physicians for Women, PC
• Allison Pierce, PHARMD
• April E Pierce, CFNP
• Vicki Teresa Pierce, FNP-BC
• Britton L Pilcher, M. D.
• Morgan Pilkinton

• Physical Medicine & Rehabilitation Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.