Elite Sport & Spine Physical Therapy, Inc.
Organization Active NPI Physical Therapist · Hawkinsville, GA
NPI 1518985282 · NPPES record last updated Dec 7, 2018
Key facts
- NPI
- 1518985282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ELITE SPORT & SPINE PHYSICAL THERAPY, INC.
- Practice address
- 2 Mashburn St Ste 102
Hawkinsville, GA 31036-4961 - Phone
- (478) 292-7865
- Fax
- (478) 783-4466
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Joseph Melvin Sapp, PT
- Title
- Owner
- Phone
- (478) 292-7865
Practitioners 15
-
Kristi Renee Crabb, PTA
-
Megan Deanna Dowdy, PTA
-
Clayton Kyle Ellis, PTA
-
Abigail Gilliam, DPT
-
Renee Hatcher, PT
-
Shira Dixon Medders, PT, DPT, ATC, MTC
-
Constance Jane Wesson, OTRL,CHT
-
Mary Katherine Walker, M.P.T.
National Provider Directory
Locations
212 GA Highway 49 N
Byron, GA 31008
Phone (478) 953-4563
327 Pearl Bates Ave
Eastman, GA 31023
Phone (478) 374-1424
2 Mashburn St
Hawkinsville, GA 31036
Phone (478) 783-4460
6 E Oak St
Mc Rae, GA 31055
Phone (229) 868-2174
151 S Houston Lake Rd
Ste 100
Warner Robins, GA 31088
Phone (478) 333-2169
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
2 Mashburn St Ste 102
Hawkinsville, GA 31036-4961
Mailing address
2 Mashburn St
Hawkinsville, GA 31036-4961
Phone (478) 292-7865
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000754619B | Medicaid | GA |
Other names
- Sapp's Physical Therapy Services, Inc.
Other providers in Hawkinsville, GA
- Kristin L Dokey
- Robin Kicklighter Dreggors
- Alton Delana Dykes V
- Guy T Easterling
- Eatonton Health & Rehabilitation
- James Eustis
- Evans Memorial
- Anna Lee Faulk
- Natalie Floyd
- Katrina Hilliard Franklin
All providers in Hawkinsville, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.