South Georgia Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUTH GEORGIA PHYSICAL THERAPY LLC

Practice address

2316 E Doublegate Dr
Albany, GA 31721-9237

Phone

(229) 881-2594

NPI assigned

Oct 15, 2021

Last updated

Oct 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Will Buchanan, DPT

Title

Owner

Phone

(229) 881-2594

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 5

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.

• Donald Houston Daniel, P.T.

  • Orthopedic Physical Therapist
  • Albany, GA
  • NPI 1003885534
  Medicare reassignment NPD
• Tynik Lenessa Fox, PT

  • Physical Therapist
  • Albany, GA
  • NPI 1609505650
  Medicare reassignment NPD
• William R Jenkins Jr., PT

  • Physical Therapist
  • Sylvester, GA
  • NPI 1821131533
  Medicare reassignment NPD
• William Buchanan, PT, DPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1689042715

  GA

  Medicare reassignment NPD
• Tara Anne Okon, P.T.

  • Physical Therapist
  • Auburn, AL
  • NPI 1619130879

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1669135778",
    "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": "229-881-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 E DOUBLEGATE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219237",
            "telephone_number": "229-881-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-881-2594",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashli Souter, RPH
• South Albany Pharmacy (u save it pharmacy south albany)
• South Albany Pharmacy, LLC (u save it pharmacy south albany LTC)
• South Ga Family Care LLC
• South Georgia Neuropsychological Associates
• South Georgia Sleep Professionals, LLC
• South Georgia Urology Clinic, P.C.
• South Georgia Urology Surgery Center, LLC
• South West Georgia Behavioral Health Provider Services Inc.
• Southern Diagnostic Services, Inc.

• 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 Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.