Active NPI
Linda Ann King, PT, ECS, CHT
- Clinical Electrophysiology Physical Therapist
- Valdosta, GA
National Provider Identifier
1790776201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Electrophysiology Physical Therapist
- License
- PT000951
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP3435 | Other | GA | MEDICARE GROUP NUMBER |
| CL3489 | Other | GA | RAILROAD MEDICARE |
| 101820 | Other | GA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valdosta Physical Therapy, Inc | Electrophysiology, Clinical | Current | 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.
-
- Physical Therapist
- Valdosta, GA
- NPI 1578775771
Electrophysiology, Clinical
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.