Douglas Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DOUGLAS PHYSICAL THERAPY INC

Practice address

1909 Pine Forest Dr
Douglas, GA 31533

Phone

(912) 384-4813

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Stephen R Miller, PT

Title

President Owner

Phone

(912) 384-4813

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Kristy A Weems, PT

  • Physical Therapist
  • Douglas, GA
  • NPI 1356547087
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1639289325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315340365",
            "telephone_number": "912-384-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 PINE FOREST DR",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "31533",
            "telephone_number": "912-384-4813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 West Ward Street Extension",
            "address_2": "Magnolia Place B-1",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315331902",
            "country_code": "US",
            "telephone_number": "912-384-4813",
            "fax_number": "912-383-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOUGLAS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "912-384-4813",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "972250981A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Douglas Spine and Rehab
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• Douglas Vascular Center, LLC
• Douglas Woman'S Clinic, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.