Organization Active NPI

Preferred Therapy

  • Physical Therapist
  • Savannah, GA
National Provider Identifier
1447433503
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004028 Issued in GA
Legal business name
PREFERRED THERAPY
Practice address
5111 Abercorn St
Savannah, GA 31405-5214
Phone
(912) 356-1002
Fax
(912) 356-1003
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. Andrea Gordon
Title
President
Phone
(912) 356-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT004028 GA Primary

Addresses

Primary practice location

5111 Abercorn St
Savannah, GA 31405-5214

Mailing address

5111 Abercorn St
Savannah, GA 31405-5214
Phone (912) 356-1002

Other identifiers 1

IdentifierTypeStateIssuer
4952OtherGAMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

5111 Abercorn St
Savannah, GA 31405
Phone (912) 239-6140

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1447433503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055214",
            "telephone_number": "912-356-1002",
            "fax_number": "912-356-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055214",
            "telephone_number": "912-356-1002",
            "fax_number": "912-356-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-356-1002",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "4952",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.