Elizabeth G Barnett

Individual provider Active NPI Physical Therapist · Kingsland, GA

NPI 1558760249 · NPPES record last updated Aug 19, 2014

Key facts

NPI
1558760249
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
011655 (GA)
Practice address
100 Lindsey LN Ste B
Kingsland, GA 31548-6927
Phone
(912) 510-6104
Fax
(912) 882-6137
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
011655GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance for Kids Inc Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011655 GA Yes

Addresses

Primary practice location

100 Lindsey LN Ste B
Kingsland, GA 31548-6927

Mailing address

PO Box 5610
Saint Marys, GA 31558-5610
Phone (912) 510-6104

Other providers in Kingsland, GA

All providers in Kingsland, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.