Organization Active NPI

Vallaris Physical Therapy LLC

  • Physical Therapist
  • Woodstock, GA
National Provider Identifier
1194101444
Registry record updated Aug 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VALLARIS PHYSICAL THERAPY LLC
Practice address
9539 Highway 92
Suite 110
Woodstock, GA 30188-6423
Phone
(770) 899-2318
NPI assigned
Aug 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2015

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

Authorized official

Name
Taylor Mote, PT, DPT
Title
President
Phone
(770) 899-2318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X GA Primary

Addresses

Primary practice location

9539 Highway 92
Suite 110
Woodstock, GA 30188-6423

Mailing address

3077 Sycamore LN
Marietta, GA 30066-4171
Phone (770) 899-2318

National Provider Directory

National Provider Directory

Locations

9539 Highway 92
Ste 110
Woodstock, GA 30188
Phone (770) 899-2318

NPI Registry JSON

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

{
    "created_epoch": "1439078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439078400000",
    "number": "1194101444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 SYCAMORE LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664171",
            "telephone_number": "770-899-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9539 HIGHWAY 92",
            "address_2": "SUITE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886423",
            "telephone_number": "770-899-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLARIS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-09",
        "last_updated": "2015-08-09",
        "status": "A",
        "authorized_official_last_name": "MOTE",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-899-2318",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2015; 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.