Georgia Pelvic PT, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008282 Issued in GA

Legal business name

GEORGIA PELVIC PT, LLC

Practice address

108 Robin St NW
Rome, GA 30165-1544

Phone

(706) 767-4419

NPI assigned

Jan 12, 2016

Last updated

Jan 12, 2016By 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

Lara Elizabeth Betz, MSPT

Title

Sole Member/Sole Provider

Phone

(706) 767-4419

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1760848345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ROBIN ST NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ROBIN ST NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651544",
            "telephone_number": "706-767-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PELVIC PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "BETZ",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOLE MEMBER/SOLE PROVIDER",
        "authorized_official_telephone_number": "706-767-4419",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Highlands College (Dental Hygiene Program)
• Georgia Interventional Pain - I, LLC
• Georgia Oral Surgical Institute LLC (Rome Oral Surgery & Implant Center)
• Georgia Pain and Wellness Center (Summit Spine & Joint Centers)
• Georgia Pelvic Health & Wellness
• Georgia Wound Physicians, LLC
• Gerald D. Jennings, PHD, LPC (Innovative Counseling Solutions)
• Laurie Ansley Gerhard, ARNP-BC
• Elizabeth Getchell
• Joyce Ann Giancola-Bolton, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.