Laura Lynn Charles, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT002497 Issued in GA

Practice address

114 Victory Dr
Swainsboro, GA 30401-3235

Phone

(478) 237-4017

Fax

(478) 237-3074

NPI assigned

Feb 21, 2008

Last updated

May 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Victory Therapy & Wellness, LLC

  • Physical Therapist
  • Swainsboro, GA
  • NPI 1538588116
  NPD
• Bass Physical Therapy and Rehabilitation Center Inc

  • Rehabilitation Clinic/Center
  • Swainsboro, GA
  • NPI 1942347687
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1508035726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 VICTORY DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013235",
            "telephone_number": "423-238-8907",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 VICTORY DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013235",
            "telephone_number": "478-237-4017",
            "fax_number": "478-237-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT002497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Cannady
• Cardinal Health 132, LLC (East Georgia Community Pharmacy)
• Carepartners of Georgia,Inc
• Central Georgia Clinic of Chiropractic LLC
• Elbert F. Chambers, CACII
• Lisa Collins Chester, RN
• Jamye Bellamy Clark, FNP-C
• Joseph Chad Clifton, L.C.S.W.
• Megan Delane Coleman, MSN, FNP-C
• Kimberly Jill Collins Scarboro, MS,CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.