Roy Lee Grumbles, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Sharpsburg, GA
NPI 1699829945 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1699829945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT000841 (GA)
- Practice address
- 30 Bellview RDG
Sharpsburg, GA 30277-1556 - Phone
- (770) 463-3413
- Fax
- (770) 463-3517
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| PT000841 | GA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT000841 | GA | Yes |
Addresses
Primary practice location
30 Bellview RDG
Sharpsburg, GA 30277-1556
Mailing address
30 Bellview RDG
Sharpsburg, GA 30277-1556
Phone (770) 463-3413
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540949404A | Medicaid | GA |
Other providers in Sharpsburg, GA
- Haley Renee Frey
- Georgia Cancer Specialists I PC
- Georgia Dental Professionals, PC
- GHM Partners, LLC
- Donald Griffin
- Sally Grumbles
- Danielle Justine Guild
- Samir Kishor Hajariwala
- Kristin Leann Hall
- Mary S. Hall
All providers in Sharpsburg, 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 Jun 17, 2008. 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.