PT Solutions of Acworth, LLC
Organization Active NPI Physical Therapist · Hahira, GA
NPI 1255977237 · NPPES record last updated Nov 25, 2019
Key facts
- NPI
- 1255977237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- PT SOLUTIONS OF ACWORTH, LLC
- Practice address
- 4900 Tillman Xing
Hahira, GA 31632-4108 - Phone
- (229) 262-3617
- Fax
- (229) 262-3618
- NPI assigned
- Nov 25, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- PT SOLUTIONS OF ACWORTH, LLC
Authorized official
- Name
- Carmen Philpot
- Title
- Director of Revenue Cycle
- Phone
- (678) 403-3568
Other NPIs on the same Medicare enrollment 33
Corporate family (same tax ID) 14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040629000794 | GA | Part B Supplier - Clinic/Group Practice | 0042291817 |
Receives reassigned benefits from 14 practitioners 33 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hahira, GA; Watkinsville, GA; Villa Rica, GA; Valdosta, GA; Tyrone, GA; Norcross, GA; Evans, GA; Decatur, GA… |
National Provider Directory
- Tax ID family
- PT Solutions of Acworth LLC
- Part of
- PT Solutions of Acworth LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
4900 Tillman Xing
Hahira, GA 31632-4108
Mailing address
1100 Circle 75 Pkwy SE Ste 1400
Atlanta, GA 30339-3067
Other providers in Hahira, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.