Active NPI
Thea Rebecca Boyd, P.T.
- Physical Therapist
- Albany, GA
National Provider Identifier
1508990516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005177
- Practice address
- 705 Partridge Dr
Albany, GA 31707-3086 - Phone
- (229) 809-0136
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005177 | GA | Primary |
Addresses
Primary practice location
705 Partridge Dr
Albany, GA 31707-3086
Mailing address
705 Partridge Dr
Albany, GA 31707-3086
Phone (229) 809-0136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005177 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Rehabilitation, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Assistant
- Richland, GA
- NPI 1295867752
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1508990516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 PARTRIDGE DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317073086",
"telephone_number": "229-809-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 PARTRIDGE DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317073086",
"telephone_number": "229-809-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "THEA",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "005177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.