David A Ray, RPT

Individual provider Active NPI Physical Therapist · Hazlehurst, GA

NPI 1699831750 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1699831750
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
GA001265 (GA)
Practice address
200 S Tallahassee St
Hazlehurst, GA 31539-6024
Phone
(912) 375-7009
Fax
(912) 375-7055
NPI assigned
Dec 30, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
GA001265GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DZH, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X GA001265 GA Yes

Addresses

Primary practice location

200 S Tallahassee St
Hazlehurst, GA 31539-6024

Mailing address

132 Admiralty Way NW
Milledgeville, GA 31061-9071
Phone (478) 453-9522

Other providers in Hazlehurst, GA

All providers in Hazlehurst, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.