Physical Therapy & Balance LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY & BALANCE LLC

Doing business as

FYZICAL Therapy & Balance Centers

Practice address

1741 Newnan Crossing Blvd E Ste C
Newnan, GA 30265-6601

Phone

(470) 627-7200

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Geana Dennis

Title

Owner

Phone

(404) 556-0031

Specialties & licenses 1

Addresses

Other names 1

• FYZICAL Therapy & Balance Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcus Bradley

  • Physical Therapist
  • Lilburn, GA
  • NPI 1922886183
  Medicare reassignment NPD

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1790517514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 NEWNAN CROSSING BLVD E STE C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656601",
            "telephone_number": "470-627-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 NEWNAN CROSSING BLVD E STE C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656601",
            "telephone_number": "470-627-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "GEANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-556-0031"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aisha Marie Pettway
• Poorvi Chhabra Pfenning, MD
• PGD PC
• Eltanlia Phillips, DDS
• Vidya Pradhan Phoenix, M.D.
• Physicians RX Pharmacy of Newman LLC (Physicians Rx Pharmacy of Newnan LLC)
• Physiotherapy Associates Inc (Physio-Highland Park)
• Lionel Pichon, CSFA
• Nicole Marie Pickett, NP
• Sydney Pickford, M.S. BCBA

• Physical Therapist in Newnan, GA
• Providers in Newnan, 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 19, 2024; 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.