NPIMap

Organization Active NPI

Rehabilitation Services of Tifton, Inc.

  • Speech-Language Pathologist
  • Tifton, GA
National Provider Identifier
1710958855
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
REHABILITATION SERVICES OF TIFTON, INC.
Practice address
1488 Old Ocilla Rd
Tifton, GA 31794-4152
Phone
(229) 386-5200
Fax
(229) 386-1412
NPI assigned
Jan 27, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Anthony (Andy) F Ellis, PT
Title
President
Phone
(229) 386-5200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT001108 GA
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

1488 Old Ocilla Rd
Tifton, GA 31794-4152

Mailing address

1488 Old Ocilla Rd
Tifton, GA 31794-4152
Phone (229) 386-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070501000032 GA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4880790328 Practice locations: Tifton, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710958855. Details of each certification follow.

  • CCN 116535 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 116535

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REHABILITATION SERVICES OF TIFTON
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jun 2, 1983
Last certification
Apr 25, 2022
Ownership / control type
Proprietary
Facility address
1488 Old Ocilla Road
Tifton, GA 31794

National Provider Directory

National Provider Directory

Locations

1401 US Highway 41 N
Tifton, GA 31794
Phone (229) 386-5200

1488 Old Ocilla Rd
Tifton, GA 31794
Phone (229) 386-5200

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710958855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944152",
            "telephone_number": "229-386-5200",
            "fax_number": "229-386-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944152",
            "telephone_number": "229-386-5200",
            "fax_number": "229-386-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SERVICES OF TIFTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ANTHONY (ANDY)",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-386-5200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT001108",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.