Amy Fiest, PT
Individual provider Active NPI Physical Therapist · Calhoun, GA
NPI 1669478756 · NPPES record last updated Dec 19, 2023
Key facts
- NPI
- 1669478756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT004588 (GA)
- Practice address
- 1114 S Wall St
Calhoun, GA 30701-3062 - Phone
- (706) 624-3000
- Fax
- (706) 624-3000
- NPI assigned
- Jun 22, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT004588 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Therapy Services, Inc. | Past | Accepting new patients | |
| Advance Rehabilitation for Kids of Gordon County, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT004588 | GA | |
| Physical Therapist | 225100000X | PT004588 | GA | Yes |
Addresses
Primary practice location
1114 S Wall St
Calhoun, GA 30701-3062
Mailing address
1114 S Wall St
Calhoun, GA 30701-3062
Phone (706) 624-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10037583 | Other | GA | AMERIGROUP |
| 000874475C | Medicaid | GA | |
| 344061 | Other | GA | WELLCARE |
Other providers in Calhoun, GA
- Evernorth Direct Health LLC
- Family First Primary Care, LLC
- John C Farris
- Jacob Wayne Faulkner
- Sheretta Vonda Fielder
- Brenda Sue Fisher
- Floyd Healthcare Management, Inc
- Jamie Folds
- Corwyn Dean Fortner
- Emily Foster
All providers in Calhoun, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.