Organization Active NPI

Physical & Athletic Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Milledgeville, GA
National Provider Identifier
1760472807
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT005245 Issued in GA
Legal business name
PHYSICAL & ATHLETIC REHABILITATION CENTER
Practice address
1203 Columbia Dr
Milledgeville, GA 31061-2395
Phone
(478) 452-6200
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mr. David Florkowski, ATC, LAT, CEAS
Title
Clinic Director
Phone
(478) 452-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT005245 GA Primary

Addresses

Primary practice location

1203 Columbia Dr
Milledgeville, GA 31061-2395

Mailing address

1203 Columbia Dr
Milledgeville, GA 31061-2395
Phone (478) 452-6200

National Provider Directory

National Provider Directory

Locations

1203 N Columbia Dr
Milledgeville, GA 31061
Phone (478) 452-6200

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1760472807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 COLUMBIA DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612395",
            "telephone_number": "478-452-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 COLUMBIA DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612395",
            "telephone_number": "478-452-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL & ATHLETIC REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "FLORKOWSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "478-452-6200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC, LAT, CEAS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT005245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.