Organization Active NPI

Physical Therapy Plus, LLC

Doing business as LaFayette Physical Therapy

  • Physical Therapist
  • La Fayette, GA
National Provider Identifier
1518999028
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005339 Issued in GA
Legal business name
PHYSICAL THERAPY PLUS, LLC
Doing business as
LaFayette Physical Therapy
Practice address
120 W Villanow St
La Fayette, GA 30728-2463
Phone
(706) 638-5983
Fax
(706) 638-3612
NPI assigned
Jul 7, 2006
Last updated
Dec 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Latefa Terry, P.T.NPI 1023044948
Title
Physical Therapist/Owner
Phone
(423) 490-1295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005339 GA Primary
Orthopedic Physical Therapist 2251X0800X 006870 GA

Addresses

Primary practice location

120 W Villanow St
La Fayette, GA 30728-2463

Mailing address

120 W Villanow St
La Fayette, GA 30728-2463
Phone (706) 638-5983

Other names 1

  • LaFayette Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060807000455 GA Part B Supplier - Clinic/Group Practice 0244233518 Receives reassigned benefits from 1 practitioner
Practice locations: La Fayette, GA

National Provider Directory

National Provider Directory

Locations

120 W Villanow St
La Fayette, GA 30728
Phone (706) 638-5983

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1518999028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W VILLANOW ST",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307282463",
            "telephone_number": "706-638-5983",
            "fax_number": "706-638-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W VILLANOW ST",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307282463",
            "telephone_number": "706-638-5983",
            "fax_number": "706-638-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "LATEFA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "423-490-1295",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "005339",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "006870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaFayette Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Fayette, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.