Age Fit Physical Therapy and Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

AGE FIT PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

748 Big a Rd
Toccoa, GA 30577-6007

Phone

(762) 338-0227

NPI assigned

Jan 3, 2022

Last updated

Jan 3, 2022By 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

Brooke Terilli, PT, DPTNPI 1376031336

Title

Physical Therapist

Phone

(770) 653-0894

Specialties & licenses 1

Addresses

Locations

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.

• Brooke Terilli, PT, DPT

  • Physical Therapist
  • Baldwin, GA
  • NPI 1376031336
  NPD Authorized official

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1407517485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 FERN VALLEY DR",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305779788",
            "telephone_number": "770-653-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 BIG A RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776007",
            "telephone_number": "762-338-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE FIT PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "TERILLI",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "770-653-0894",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kimball Abbot
• Ralph Everett Ables III, LCSW
• Activekidz and Adult Therapy Services
• Shellei Adams, OT R/L
• Muhammad Arbab Ali, M.D.
• Amedisys Georgia LLC (Tugaloo Home health Agency an Amedisys Company)
• Amedisys Hospice LLC (Amedisys Hospice)
• Americanwork, Inc.
• Mary Lovett Wheeler Anderson, APRN, FNP-C

• Physical Therapy Clinic/Center in Toccoa, GA
• Providers in Toccoa, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.