NPIMap

Organization Active NPI

Oconee Rehabilitation Consultants and Independent Services

  • Physical Therapist
  • Sparta, GA
National Provider Identifier
1255595690
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
GA000823 Issued in GA
Legal business name
OCONEE REHABILITATION CONSULTANTS AND INDEPENDENT SERVICES
Practice address
446 Spring Street
Sparta, GA 31087
Phone
(706) 444-9200
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Donna Benton, P.T.NPI 1649439407
Title
Owner/President
Phone
(706) 444-9200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X GA000823 GA Primary

Addresses

Primary practice location

446 Spring Street
Sparta, GA 31087

Mailing address

P. O. Box 454
Sparta, GA 31087

Other identifiers 1

IdentifierTypeStateIssuer
000574802CMedicaidGA

National Provider Directory

National Provider Directory

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": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1255595690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 454",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "31087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 SPRING STREET",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "31087",
            "telephone_number": "706-444-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE REHABILITATION CONSULTANTS AND INDEPENDENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "706-444-9200",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "GA000823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000574802C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.