Individual provider Active NPI

Linda Ann King, PT, ECS, CHT

  • Clinical Electrophysiology Physical Therapist
  • Valdosta, GA
National Provider Identifier
1790776201
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
PT000951 Issued in GA
Practice address
2109 N Patterson St
Suite a
Valdosta, GA 31602-2946
Phone
(229) 247-5225
Fax
(229) 241-8471
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical Therapist 2251E1300X PT000951 GA Primary
Hand Physical Therapist 2251H1200X PT000951 GA
Orthopedic Physical Therapist 2251X0800X PT000951 GA

Addresses

Primary practice location

2109 N Patterson St
Suite a
Valdosta, GA 31602-2946

Mailing address

2109 N Patterson St
Suite a
Valdosta, GA 31602-2946
Phone (229) 247-5225

Other identifiers 3

IdentifierTypeStateIssuer
GRP3435OtherGAMEDICARE GROUP NUMBER
CL3489OtherGARAILROAD MEDICARE
101820OtherGABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000235 GA Practitioner - Physical Therapist in Private Practice 4688764269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Missouri, Columbia School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valdosta Physical Therapy, IncGroup PAC ID 5092732305, 3 clinicians

Practice addresses (Care Compare)

2109 N Patterson St
Suite a
Valdosta, GA 31602-2577
Phone (912) 247-5225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valdosta Physical Therapy, Inc Electrophysiology, Clinical CurrentSince Oct 1, 1990 Accepting new patients

Locations

2109 N Patterson St
Ste A
Valdosta, GA 31602
Phone (229) 247-5225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1790776201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 N PATTERSON ST",
            "address_2": "SUITE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022946",
            "telephone_number": "229-247-5225",
            "fax_number": "229-241-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 N PATTERSON ST",
            "address_2": "SUITE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022946",
            "telephone_number": "229-247-5225",
            "fax_number": "229-241-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "credential": "PT, ECS, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "GA",
            "license": "PT000951",
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "GA",
            "license": "PT000951",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT000951",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP3435",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL3489",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "101820",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.