Spine Dynamics PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004796 Issued in GA

Legal business name

SPINE DYNAMICS PC

Practice address

788 Prince Ave
Suite C
Athens, GA 30606-5912

Phone

(706) 543-2111

Fax

(706) 543-2190

NPI assigned

Jul 5, 2007

Last updated

Jul 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Stuart Copes, PTNPI 1336187665

Title

Physical Therapist/Owner

Phone

(706) 543-2111

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Stuart Copes, PT

  • Physical Therapist
  • Athens, GA
  • NPI 1336187665
  Authorized official Same address or phone

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1356549935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 PRINCE AVE",
            "address_2": "SUITE C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065912",
            "telephone_number": "706-543-2111",
            "fax_number": "706-543-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 PRINCE AVE",
            "address_2": "SUITE C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065912",
            "telephone_number": "706-543-2111",
            "fax_number": "706-543-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE DYNAMICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "COPES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "706-543-2111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Lynn Southwood, PHARMD
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• Sally Speed, LCSW
• Marjorie Spencer, RN
• Steven Schaeffer Spires, M.D.
• James E Splichal, M.D.
• Stephanie Spon
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• Russell D. Springer, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.