Peachstate Orthopedics P C

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEACHSTATE ORTHOPEDICS P C

Doing business as

Peachtree City Physical Therapy

Practice address

211 Prime PT
Suite 2H
Peachtree City, GA 30269-3334

Phone

(770) 631-6410

Fax

(770) 631-6413

NPI assigned

Feb 8, 2007

Last updated

Jun 2, 2008By 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

Dr. Steven Merritt Wanderman, MD

Title

President

Phone

(770) 631-6410

Specialties & licenses 1

Addresses

Other names 1

• Peachtree City Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1750422432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PRIME PT",
            "address_2": "SUITE 2H",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693334",
            "telephone_number": "770-631-6410",
            "fax_number": "770-631-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PRIME PT",
            "address_2": "SUITE 2H",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693334",
            "telephone_number": "770-631-6410",
            "fax_number": "770-631-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHSTATE ORTHOPEDICS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "WANDERMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MERRITT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-631-6410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachtree City Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.