NPIMap

Organization Active NPI

Elite Sport & Spine Physical Therapy, Inc.

  • Physical Therapist
  • Hawkinsville, GA
National Provider Identifier
1518985282
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 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
Last updated
Dec 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Joseph Melvin Sapp, PT
Title
Owner
Phone
(478) 292-7865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

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 names 1

  • Sapp's Physical Therapy Services, Inc. Former legal business name

National Provider Directory

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

153 Commerce St
Hawkinsville, GA 31036
Phone (478) 783-0555

2 Mashburn St
Hawkinsville, GA 31036
Phone (478) 783-4460

2 Mashburn St
Ste 102
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

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1518985282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MASHBURN ST",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310364961",
            "telephone_number": "478-292-7865",
            "fax_number": "478-783-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MASHBURN ST STE 102",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310364961",
            "telephone_number": "478-292-7865",
            "fax_number": "478-783-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPORT & SPINE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "SAPP",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-292-7865",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sapp's Physical Therapy Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sapp's Physical Therapy Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hawkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.