Elawadtherapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PTO11332 Issued in GA

Legal business name

ELAWADTHERAPY

Practice address

512 S Houston Lake Rd
Warner Robins, GA 31088-6308

Phone

(770) 468-8468

Fax

(478) 254-4026

NPI assigned

Apr 15, 2016

Organization subpart

No

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

Authorized official

Name

Gamal Salman Elawad

Title

Physical Therapist

Phone

(770) 468-8468

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Mary Ann Hudson, M.ED.CCCSLP

  • Speech-Language Pathologist
  • Phenix City, AL
  • NPI 1720205776
  NPD

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1306290408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 SANTA BARBARA DR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302973453",
            "telephone_number": "770-991-1227",
            "fax_number": "770-991-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S HOUSTON LAKE RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886308",
            "telephone_number": "770-468-8468",
            "fax_number": "478-254-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAWADTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "ELAWAD",
        "authorized_official_first_name": "GAMAL",
        "authorized_official_middle_name": "SALMAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "770-468-8468"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PTO11332",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele T Edwards-Paschal, MD
• Cassondra Edwards, FNP
• Lyric Edwards, RBT
• Tamera Edwards, RBT
• Ehi Pharmacy Solutions, LLC.
• Elberta Healthcare, LLC
• Elena Dobbs, PHD LPC
• Elevate Pelvic Therapy LLC
• Elite Angels
• Elite Health Care, Inc.

• Physical Therapy Clinic/Center in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.