Deloach Physical Therapy

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

Organization subpart

No

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

Authorized official

Name

Albert Wayne Deloach

Title

Owner

Phone

(229) 333-8001

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Moon, DPT

  • Physical Therapist
  • Valdosta, GA
  • NPI 1982169777
  NPD
• Rachel Lynne Saragusa, OTR/L

  • Occupational Therapist
  • New Port Richey, FL
  • NPI 1346784931
  NPD
• Barbara J. Williams, P.T.

  • Physical Therapist
  • Valdosta, GA
  • NPI 1265612337
  NPD (past)

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": []
}

• Robin M Dees, LPC
• Salome Ewurasi Defore, MD
• Brij Delada
• Heather Shay Delaney, MED CCC-SLP
• Tiffany M Delice, M.D.
• Albert Deloach
• Anna Deloach, PT
• Danielle Deloach
• Lyndon Peter Delrosario, BCABA
• Xianzhen Deng, DO

• All providers in Valdosta, GA
• Physical Therapy Clinic/Center in Georgia

• 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.