Highland Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004781 Issued in GA

Legal business name

HIGHLAND PHYSICAL THERAPY, INC

Practice address

4770 Destitute Way
Gainesville, GA 30506-3197

Phone

(678) 343-0084

Fax

(678) 943-8235

NPI assigned

Oct 21, 2013

Organization subpart

No

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

Authorized official

Name

Charles Barrett Jr., PT

Title

Owner

Phone

(678) 343-0084

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1457789927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 DESTITUTE WAY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305063197",
            "telephone_number": "678-343-0084",
            "fax_number": "678-943-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 DESTITUTE WAY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305063197",
            "telephone_number": "678-343-0084",
            "fax_number": "678-943-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-343-0084",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000805285B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.