Therapy South - Watkinsville LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THERAPY SOUTH - WATKINSVILLE LLC

Practice address

2053 Experiment Station Rd Ste B
Watkinsville, GA 30677-5326

Phone

(706) 770-5740

NPI assigned

Mar 8, 2024

Last updated

Mar 8, 2024By 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

Douglas Cole

Title

President

Phone

(205) 745-3660

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.

• Andrea Bowden, PT, DPT

  • Physical Therapist
  • Athens, GA
  • NPI 1659101723
  Medicare reassignment Care Compare group NPD
• Bret Harrison Joiner, P.T.

  • Physical Therapist
  • Athens, GA
  • NPI 1043466956
  Medicare reassignment Care Compare group NPD
• Michael Johnson, PT

  • Physical Therapist
  • Watkinsville, GA
  • NPI 1326883604
  NPD
• Sydney Payne, PT, DPT

  • Physical Therapist
  • Watkinsville, GA
  • NPI 1104749456
  NPD (past)
• Stephen Mark Foster, PT

  • Physical Therapist
  • Vestavia Hills, AL
  • NPI 1073626206
  NPD (past)

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1689432387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 EXPERIMENT STATION RD STE B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306775326",
            "telephone_number": "706-770-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SOUTH - WATKINSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-745-3660"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rorie Taylor, RBT
• Stephanie Taylor, RBT
• Tennet LLC (Prime Time Pediatrics)
• Kellie Thaxton
• The Foot and Ankle Treatment Center LLC
• Therapylink
• Chaquita Thomas, CRNP
• Kristen Ann Thomas, M.D.
• Mitspa Thomas
• Frances Elaine Thomason, RPH

• Physical Therapy Clinic/Center in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.