Advanced Physical Therapy of Fayette
Organization Active NPI Physical Therapy Clinic/Center · Fayetteville, GA
NPI 1447294228 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1447294228
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- PT006402 (GA)
- Legal business name
- ADVANCED PHYSICAL THERAPY OF FAYETTE
- Practice address
- 135 Brandywine Blvd
Suite D
Fayetteville, GA 30214-1590 - Phone
- (770) 460-6285
- Fax
- (770) 460-6512
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Ryan Christopher Yolitz, PT
- Title
- Manager
- Phone
- (770) 460-6285
Practitioners 8
-
Jessica Brownfield, PT, DPT
-
Kristi Buck, PT
-
Amanda C. Kinley, PT
-
Tarra Taylor, P.T.
-
Laura M. Yolitz, PT
National Provider Directory
Locations
135 Brandywine Blvd
Ste D
Fayetteville, GA 30214
Phone (770) 460-6285
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT006402 | GA | Yes |
Addresses
Primary practice location
135 Brandywine Blvd
Suite D
Fayetteville, GA 30214-1590
Mailing address
135 Brandywine Blvd
Suite D
Fayetteville, GA 30214-1590
Phone (770) 460-6285
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- Advanced Physical Therapy of Fayette, LLC
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All providers in Fayetteville, GA · Physical Therapy Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.