Drayer Physical Therapy Institute of Ky PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DRAYER PHYSICAL THERAPY INSTITUTE OF KY PLLC

Practice address

3869 Highway 81
Loganville, GA 30052-3918

Phone

(678) 635-8280

Fax

(678) 635-8285

NPI assigned

Oct 19, 2010

Organization subpart

No

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

Authorized official

Name

Luke A Drayer

Title

Ceo

Phone

(717) 220-2100

Specialties & licenses 1

Addresses

Other names 1

• Drayer Physical Therapy Institute Doing business as

Locations

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1487964896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523918",
            "telephone_number": "678-635-8280",
            "fax_number": "678-635-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523918",
            "telephone_number": "678-635-8280",
            "fax_number": "678-635-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAYER PHYSICAL THERAPY INSTITUTE OF KY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "DRAYER",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-220-2100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drayer Physical Therapy Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doretha Shante Donald, OWNER
• Danielle Dorra Williams
• Dr. C'S Atlanta Vascular Center, LLC
• Drayer Physical Therapy Georgia LLC
• Drayer Physical Therapy Institute LLC
• Dualpath Billing and Credentialing Inc
• Dub Enterprises
• Tammie Dumas-Wilkerson
• Stephanie Dunlap
• Mary Julia Dunn

• All providers in Loganville, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.