NPIMap

Organization Active NPI

Deloach Physical Therapy

  • Physical Therapy Clinic/Center
  • Valdosta, GA
National Provider Identifier
1528352002
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DELOACH PHYSICAL THERAPY
Practice address
420 Northside Dr
Valdosta, GA 31602-1802
Phone
(229) 333-8001
NPI assigned
Jun 2, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Albert Wayne DeloachNPI 1477851038
Title
Owner
Phone
(229) 333-8001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

420 Northside Dr
Valdosta, GA 31602-1802

Mailing address

420 Northside Dr
Valdosta, GA 31602
Phone (229) 333-8001

National Provider Directory

National Provider Directory

Locations

420 Northside Dr
Valdosta, GA 31602
Phone (229) 333-8001

Practitioners & affiliated clinicians

Practitioners 4

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": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528352002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NORTHSIDE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-333-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NORTHSIDE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021802",
            "telephone_number": "229-333-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELOACH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DELOACH",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-333-8001"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.