Organization Active NPI

Salisbury Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Dallas, GA
National Provider Identifier
1194409961
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SALISBURY PHYSICAL THERAPY, LLC
Practice address
8492 Hiram Acworth Hwy Ste 211
Dallas, GA 30157-4710
Phone
(678) 687-0630
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Kinsey Salisbury
Title
Owner/Office Manager
Phone
(404) 660-1380

Specialties & licenses 1

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

Addresses

Primary practice location

8492 Hiram Acworth Hwy Ste 211
Dallas, GA 30157-4710

Mailing address

8492 Hiram Acworth Hwy Ste 211
Dallas, GA 30157-4710
Phone (678) 687-0630

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230808001597 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395107395 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, GA

National Provider Directory

National Provider Directory

Locations

8492 Hiram Acworth Hwy
Ste 211
Dallas, GA 30157
Phone (678) 687-0630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1194409961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8492 HIRAM ACWORTH HWY STE 211",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301574710",
            "telephone_number": "678-687-0630",
            "fax_number": "678-647-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8492 HIRAM ACWORTH HWY STE 211",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301574710",
            "telephone_number": "678-687-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALISBURY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "SALISBURY",
        "authorized_official_first_name": "KINSEY",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "404-660-1380"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.