Michael Anthony Trammell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA001345 Issued in GA

Practice address

106 Pearl Dr
Suite 104
La Fayette, GA 30728-7509

Phone

(770) 748-0309

NPI assigned

Dec 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Physical Therapy & Sports Medicine Inc

  • Physical Therapist
  • La Fayette, GA
  • NPI 1871738872
  NPD (past)

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

{
    "created_epoch": "1228521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228521600000",
    "number": "1356586218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307280431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PEARL DR",
            "address_2": "SUITE 104",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307287509",
            "telephone_number": "770-748-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMMELL",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-06",
        "last_updated": "2008-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA001345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Craig Temples, RPH
• Latefa Nichelle Terry, PT
• Elizabeth E Thompson, MSN, APRN, FNP-C
• Emanuel Thompson
• Samuel Luke Thompson, DMD
• United Rehab Inc (United Rehab of Lafayette)
• United Rehab Inc (United Rehab of Shepherd Hills)
• Valor Wellness LLC
• Jensen Hackett Wages, DPT
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2988)

• Physical Therapy Assistant in La Fayette, GA
• Providers in La Fayette, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2008; 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.