Totem Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TOTEM PHYSICAL THERAPY LLC

Practice address

1806 Russell Pkwy Ste 1400
Warner Robins, GA 31088-5781

Phone

(478) 235-4441

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Michael F Jackson Jr., DPTNPI 1114441375

Title

Owner

Phone

(478) 235-4441

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Frank Jackson Jr., DPT

  • Physical Therapist
  • Warner Robins, GA
  • NPI 1114441375
  NPD Authorized official

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1487260840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PARTRIDGE TRL",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 RUSSELL PKWY STE 1400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885781",
            "telephone_number": "478-235-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTEM PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-235-4441",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaniah Tolbert
• Jennifer Phyllis Toler, CRNA
• William Toler, D.M.D.
• Sarah Tosi, AUD
• Total Renal Care Inc
• Nichole Towns
• Ronda Toy, RN
• Ca Tran
• Vinh Tom Tran, PHARM.D.
• Jill Perry Travers, FNP-C

• Physical Therapy Clinic/Center in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.