Organization Active NPI

Platinum PT LLC

  • Physical Therapy Clinic/Center
  • Baxley, GA
National Provider Identifier
1457648958
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PLATINUM PT LLC
Practice address
37 Tippins St Ste B
Baxley, GA 31513-0594
Phone
(912) 278-4154
NPI assigned
Jul 5, 2011
Last updated
Jul 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Mrs. Amber L Hooks, DPT
Title
Physical Therapist
Phone
(912) 278-4154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

37 Tippins St Ste B
Baxley, GA 31513-0594

Mailing address

37 Tippins St Ste B
Baxley, GA 31513-0594
Phone (912) 278-4154

National Provider Directory

National Provider Directory

Locations

37 Tippins St
Ste A
Baxley, GA 31513
Phone 91236798411259

37 Tippins St
Ste B
Baxley, GA 31513
Phone (912) 278-4154

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1457648958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 TIPPINS ST STE B",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130594",
            "telephone_number": "912-278-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 TIPPINS ST STE B",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130594",
            "telephone_number": "912-278-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "912-278-4154",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.