Lila Frazer Ralston, PTA – Physical Therapy Assistant

Key facts

NPI: 1457545170
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapy Assistant 225200000X
License: PTA002401 (GA)
Practice address: 104 Moores Grove Rd
Suite 100
Winterville, GA 30683-1506
Phone: (706) 742-0082
NPI assigned: Sep 6, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medical Rehabilitation Systems, LLC Physical Therapist · Grantsville, MD · NPI 1861500233

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
PTA002401	GA	MD	Physical Therapy Assistant

Practice roles

Organization	Specialty	Status	New patients
Medical Rehabilitation Systems, LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapy Assistant	225200000X	PTA002401	GA	Yes

Addresses

Primary practice location

104 Moores Grove Rd
Suite 100
Winterville, GA 30683-1506

Mailing address

104 Moores Grove Rd
Suite 100
Winterville, GA 30683-1506
Phone (706) 742-0082

Other names

Lila Frances Frazer Former name

Other providers in Winterville, GA

All providers in Winterville, GA · Physical Therapy Assistant in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2008. 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.

Verify at the official NPI Registry.