PT at Home LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PT AT HOME LLC

Practice address

81 Crown Mountain PL Unit A300
Dahlonega, GA 30533-1619

Phone

(770) 540-2637

Fax

(706) 867-6859

NPI assigned

Mar 10, 2025

Organization subpart

No

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

Authorized official

Name

Mandy Rianna Vander Pol, P.T., M.S., D.P.T.NPI 1215755806

Title

Physical Therapist/ Owner

Phone

(770) 540-2637

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Mandy Rianna Vander Pol, PT

  • Physical Therapist
  • Dahlonega, GA
  • NPI 1215755806
  Medicare reassignment NPD Authorized official
• Collin J. Vander Pol, LCSW

  • Clinical Social Worker
  • Dahlonega, GA
  • NPI 1922106970
  NPD

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1346049848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CROWN MOUNTAIN PL UNIT A300",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331619",
            "telephone_number": "770-540-2637",
            "fax_number": "706-867-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 CROWN MOUNTAIN PL UNIT A300",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331619",
            "telephone_number": "770-540-2637",
            "fax_number": "706-867-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A",
        "authorized_official_last_name": "VANDER POL",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "RIANNA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "770-540-2637",
        "authorized_official_credential": "P.T., M.S., D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M. Poole, M.ED, ATC
• Janet Powe, PTA
• Eric W Powell, MD
• Skylar Sherrill Powell
• Prime Care Dahlonega LLC
• Publix Super Markets, Inc. (Publix Pharmacy #2024)
• Wanda Ragan, RN
• Chloe Lynn Rainwater
• Rediclinic US LLC (RediClinic)
• Jamie Regan, LPC

• Physical Therapy Clinic/Center in Dahlonega, GA
• Providers in Dahlonega, 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 10, 2025; 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.