Physical Therapy Home Health Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08042527 Issued in GA

Legal business name

PHYSICAL THERAPY HOME HEALTH SERVICES, LLC

Practice address

120 Pinnacle LN
McDonough, GA 30253-2057

Phone

(770) 288-2688

Fax

(770) 288-2341

NPI assigned

May 6, 2009

Organization subpart

No

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

Authorized official

Name

Billy V Clemons, PT

Title

Director

Phone

(770) 288-2688

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1699909671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PINNACLE LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302532057",
            "telephone_number": "770-288-2688",
            "fax_number": "770-288-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PINNACLE LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302532057",
            "telephone_number": "770-288-2688",
            "fax_number": "770-288-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-288-2688",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "08042527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255095737A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jammie Phillips, M.ED, ED.S, RBT
• Rechelle L Phillips
• Tatiana Marie Nicole Phillips, RN
• Phoenix Medical Group of Ga LLC
• Physical Life LLC
• Physical Therapy in Motion Inc
• Physio-Care, Inc
• Ulyssess Pickard, PHYSICAL THERAPIST
• Piedmont Healthcare Encompass Health Rehab Hospital of Henry, LLC (Rehabilitation Hospital of Henry)
• Lauren Michelle Pierce, MED, CCC, SLP

• Physical Therapist in McDonough, GA
• Providers in McDonough, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.