Longleaf Physical Therapy, LLC.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LONGLEAF PHYSICAL THERAPY, LLC.

Practice address

311 N Dawson St
Thomasville, GA 31792-5132

Phone

(334) 695-0993

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Marjorie Pomeroy Baker, PT, DPTNPI 1578809174

Title

Owner

Phone

(334) 695-0993

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Marjorie Pomeroy Baker, PT, DPT

  • Physical Therapist
  • Thomasville, GA
  • NPI 1578809174
  Medicare reassignment Care Compare group Authorized official
• Dalanie Harris, PT, DPT

  • Physical Therapist
  • Thomasville, GA
  • NPI 1710761671
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1346962701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 MILLPOND RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317927407",
            "telephone_number": "334-695-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N DAWSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925132",
            "telephone_number": "334-695-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGLEAF PHYSICAL THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "POMEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-695-0993",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003183884A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina N Lewis, CNP
• LHCG Ccxxii, LLC
• Life Care Centers of America, Inc. (Camellia Gardens of Life Care)
• Ronald Lindquist, P.A.
• Jason Townley Little, PA-C
• Jairam Lonkani, M.D.
• Amy Loper, PTA
• Lori L Nelson LPC LMHC PC
• Lisa Dawn Lowe, FNP
• Morgan Lowe

• Physical Therapist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.