Barnes Orthopedic, Sport, and Spine Physical Therapy LLC

Organization Active NPI Orthopedic Physical Therapist · Locust Grove, GA

NPI 1407446602 · NPPES record last updated Mar 23, 2021

Key facts

NPI
1407446602
Entity type
Organization (NPI type 2)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
Legal business name
BARNES ORTHOPEDIC, SPORT, AND SPINE PHYSICAL THERAPY LLC
Practice address
3994 Highway 42
Locust Grove, GA 30248-4104
Phone
(470) 507-4607
Fax
(470) 507-4608
NPI assigned
Jan 21, 2021
Organization subpart
No

Authorized official

Name
Mr. Michael Steven Barnes, PT, MPT, OCS
Title
Owner/Director
Phone
(470) 255-9325

Practitioners 1

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

National Provider Directory

Locations

3994 Highway 42 S
Locust Grove, GA 30248
Phone (470) 507-4607

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
2251X0800X Yes

Addresses

Primary practice location

3994 Highway 42
Locust Grove, GA 30248-4104

Mailing address

3994 Highway 42
Locust Grove, GA 30248-4104
Phone (470) 507-4607

Other identifiers

IdentifierTypeStateIssuer
PT015025OtherGAGEORGIA STATE BOARD OF PT

Other providers in Locust Grove, GA

All providers in Locust Grove, GA · Orthopedic Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.