Tynik Lenessa Fox, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009793 Issued in GA

Practice address

2821 Gillionville Rd
Albany, GA 31721-2951

Phone

(229) 299-4227

Fax

(229) 299-4207

NPI assigned

Jun 6, 2022

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• South Georgia Physical Therapy LLC

  • Physical Therapist
  • Albany, GA
  • NPI 1669135778
  Medicare reassignment NPD

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1609505650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 E DOUBLEGATE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219237",
            "telephone_number": "229-299-4227",
            "fax_number": "229-299-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 GILLIONVILLE RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317212951",
            "telephone_number": "229-299-4227",
            "fax_number": "229-299-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "TYNIK",
        "middle_name": "LENESSA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689042715",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "address_1": "2821 Gillionville Rd",
            "city": "Albany",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317212951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yteela K. Ford
• Edwin J Fortenbery, MD
• Nedra S Fortson, AGPCNP-BC, RN
• Carolyn Fowler, PA
• Michael Anthony Fowler, PAC MPAS
• Kari L Fralish, NP
• Abigale Short Franklin, PT ASSISTANT
• Belinda Frazier, NNP-BC
• Kenya Simone Frazier
• Pamela P Freeman, FNP-C

• Physical Therapist in Albany, GA
• Providers in Albany, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.