Organization Active NPI

Team 3 Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Conyers, GA
National Provider Identifier
1568950665
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT011238 Issued in GA
Legal business name
TEAM 3 PHYSICAL THERAPY, LLC
Practice address
1227 Green St SE
Conyers, GA 30012-5409
Phone
(678) 313-5943
NPI assigned
Apr 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Dr. Hannah Michelle St. Louis, DPT
Title
Physical Therapy
Phone
(413) 214-4963

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X PT011238 GA Primary
Physical Therapy Clinic/Center 261QP2000X PT011238 GA

Addresses

Primary practice location

1227 Green St SE
Conyers, GA 30012-5409

Mailing address

2101 Sableshire Way SE
Conyers, GA 30013-6475
Phone (413) 214-4963

National Provider Directory

National Provider Directory

Locations

1227 Green St SE
Conyers, GA 30012
Phone (413) 214-4963

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1568950665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SABLESHIRE WAY SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136475",
            "telephone_number": "413-214-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 GREEN ST SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300125409",
            "telephone_number": "678-313-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM 3 PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "ST. LOUIS",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "413-214-4963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT011238",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT011238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.