Sarah Lee Balliew, PTA
Individual provider Active NPI Physical Therapy Assistant · Hapeville, GA
NPI 1457784878 · NPPES record last updated Aug 21, 2013
Key facts
- NPI
- 1457784878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A000694 (GA)
- Practice address
- 791 Oak St
Hapeville, GA 30354-1748 - Phone
- (404) 601-2000
- NPI assigned
- Aug 21, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| A000694 | GA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pace Physical Therapy LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A000694 | GA | Yes |
Addresses
Primary practice location
791 Oak St
Hapeville, GA 30354-1748
Mailing address
791 Oak St
Hapeville, GA 30354-1748
Phone (404) 601-2000
Other providers in Hapeville, GA
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- Tabitha Delaina Ball
- Hyneef Banks
- Carolanne Barrett
- Cassandra Betts
- Brandon Blair
- Brittany Bohannon
All providers in Hapeville, 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 Aug 21, 2013. 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.