NPIMap

Organization Active NPI

Thomasville Physical Therapy Inc

  • Physical Medicine & Rehabilitation Physician
  • Thomasville, GA
National Provider Identifier
1598816290
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
THOMASVILLE PHYSICAL THERAPY INC
Practice address
1203 E Jackson St
Thomasville, GA 31792-4748
Phone
(229) 228-4155
Fax
(229) 226-2321
NPI assigned
Jan 16, 2007
Last updated
Feb 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Mr. Earl Eugene Folsom Jr., PTNPI 1043409907
Title
Coowner
Phone
(229) 228-4155

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1203 E Jackson St
Thomasville, GA 31792-4748

Mailing address

PO Box 2476
Thomasville, GA 31799-2476
Phone (229) 228-4155

Other identifiers 1

IdentifierTypeStateIssuer
000296062AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071210000277 GA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4486743747 Practice locations: Cairo, GA; Thomasville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598816290. Details of each certification follow.

  • CCN 116558 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 116558

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
THOMASVILLE PHYSICAL THERAPY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
May 9, 1985
Last certification
Apr 26, 2022
Ownership / control type
Proprietary
Facility address
1203 E. Jackson Street
Thomasville, GA 31792

National Provider Directory

National Provider Directory

Locations

201 2nd Ave SE
Cairo, GA 39828
Phone (229) 377-0082

210 W Main St
Ste 1
Colquitt, GA 39837
Phone (229) 207-6005

1203 E Jackson St
Thomasville, GA 31792
Phone (229) 228-4155

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1598816290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2476",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317992476",
            "telephone_number": "229-228-4155",
            "fax_number": "229-226-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E JACKSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924748",
            "telephone_number": "229-228-4155",
            "fax_number": "229-226-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASVILLE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "FOLSOM",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "229-228-4155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000296062A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.