Physical Therapy Associates

Key facts

NPI

1336239797

Entity type

Organization (NPI type 2)

Primary specialty

Physical Therapist 225100000X

Legal business name

PHYSICAL THERAPY ASSOCIATES

Practice address

RR 2 Box 67Aaa
351 Pete Ave
Waynesville, GA 31566-9714

Phone

(912) 571-1556

Fax

(734) 319-6397

NPI assigned

Oct 13, 2006

Organization subpart

No

Authorized official

Name

Mr. Joseph John Segui Jr., J.D.

Title

Manager

Phone

(912) 571-1556

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336239797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "WAYNESVILLE",
            "state": "GA",
            "postal_code": "315660699",
            "telephone_number": "912-571-1556",
            "fax_number": "734-319-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 67AAA",
            "address_2": "351 PETE AVE",
            "city": "WAYNESVILLE",
            "state": "GA",
            "postal_code": "315669714",
            "telephone_number": "912-571-1556",
            "fax_number": "734-319-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEGUI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-571-1556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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