Individual provider Active NPI

Justin Garrett Pye, PT

  • Physical Therapist
  • Jesup, GA
National Provider Identifier
1790924876
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008776 Issued in GA
Practice address
1251 S 1St St
Jesup, GA 31545-7729
Phone
(912) 559-2071
Fax
(912) 559-2143
NPI assigned
Feb 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008776 GA Primary

Addresses

Primary practice location

1251 S 1St St
Jesup, GA 31545-7729

Mailing address

2003 Alice St Ste a
Waycross, GA 31501-6209
Phone (912) 285-0053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090331000329 GA Practitioner - Physical Therapist in Private Practice 9931266244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine and Rehab Therapy, LLCGroup PAC ID 1658415054, 6 clinicians

Practice addresses (Care Compare)

301 Pineview Dr
Waycross, GA 31501-5229
Phone (912) 285-0053

301 Pineview Dr
Waycross, GA 31501-6209

360 Peachtree St
Jesup, GA 31545-0244
Phone (912) 559-2071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine and Rehab Therapy, LLC CurrentSince Aug 30, 2010 Accepting new patients
Ankle and Foot Associates, LLC Past Accepting new patients

Locations

204 Westside Dr
Douglas, GA 31533
Phone (912) 384-4121

1251 S 1st St
Jesup, GA 31545
Phone (912) 427-9990

360 Peachtree St
Jesup, GA 31545
Phone (912) 427-0546

1891 Highway 40 E
Ste 1104
Kingsland, GA 31548
Phone (912) 285-0053

2003 Alice St
#A
Waycross, GA 31501
Phone (912) 285-0053

2003 Alice St
Ste A
Waycross, GA 31501
Phone (912) 285-0053

301 Pineview Dr
Waycross, GA 31501
Phone (912) 285-0053

501 W Oneida St
Waycross, GA 31501
Phone (912) 283-6471

Organizations & group practices 2

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": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1790924876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 ALICE ST STE A",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016209",
            "telephone_number": "912-285-0053",
            "fax_number": "912-283-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315457729",
            "telephone_number": "912-559-2071",
            "fax_number": "912-559-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYE",
        "first_name": "JUSTIN",
        "middle_name": "GARRETT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.