Promotion Physical Therapy Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

00677 Issued in GA

Legal business name

PROMOTION PHYSICAL THERAPY INC

Practice address

3890 Highway 81 South
Loganville, GA 30052-3917

Phone

(770) 554-7977

Fax

(770) 554-4177

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda G Pilz, MPTNPI 1518921295

Title

Owner Physical Therapist

Phone

(770) 554-7977

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

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.

• Amanda G Pilz, MPT

  • Physical Therapist
  • Loganville, GA
  • NPI 1518921295
  Medicare reassignment NPD Authorized official
• Stephanie Abel

  • Psychiatric/Mental Health Nurse Practitioner
  • Loganville, GA
  • NPI 1811506272
  NPD (past)
• Lisa Gabrielson, PT

  • Physical Therapist
  • Grayson, GA
  • NPI 1447874243
  NPD (past)
• Mendi Michelle Schubert, PT

  • Physical Therapist
  • Loganville, GA
  • NPI 1144315078
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1386659894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 HIGHWAY 81 SOUTH",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523917",
            "telephone_number": "770-554-7977",
            "fax_number": "770-554-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 HIGHWAY 81 SOUTH",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523917",
            "telephone_number": "770-554-7977",
            "fax_number": "770-554-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMOTION PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "PILZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "770-554-7977",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "00677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "65BBBRG",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "821337",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DG3262",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Loganville, GA
• Providers in Loganville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.