Summit Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16106467 Issued in GA

Legal business name

SUMMIT PHYSICAL THERAPY

Practice address

1306 Macon Rd
Perry, GA 31069-2652

Phone

(478) 987-4600

Fax

(844) 308-4986

NPI assigned

Mar 24, 2017

Last updated

Aug 18, 2022By 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

Spencer ShugartNPI 1598049918

Title

Ceo

Phone

(478) 957-1491

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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.

• Spencer D Shugart, MPT

  • Physical Therapist
  • Perry, GA
  • NPI 1598049918
  Medicare reassignment Care Compare group Authorized official
• Elizabeth Ann Bell

  • Physical Therapist
  • Perry, GA
  • NPI 1366471047
  Medicare reassignment Care Compare group NPD
• David Lee Faircloth, DPT

  • Physical Therapist
  • Perry, GA
  • NPI 1477235026
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1770014409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 MACON RD",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692652",
            "telephone_number": "478-987-4600",
            "fax_number": "844-308-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 MACON RD",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692652",
            "telephone_number": "478-987-4600",
            "fax_number": "844-308-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "SHUGART",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-957-1491"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "16106467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Gabrielle Stanley
• Christopher Kevin Stewart
• Jacob Stewart
• Larry D. Stewart Jr., MD
• Summerhill, LLC
• Raelyn Jo Sumrall
• Yasmine Breshae Swift
• Tajendra Prasad Pharm LLC (Peach Pharmacy)
• Tina Fairchild Tambornini, LCSW
• Brittany Tate

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.