Active NPI
Hannah Douglas
- Physical Therapist
- Pooler, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017266
- Practice address
- 119 Canal St Ste 104
Pooler, GA 31322-4094 - Phone
- (912) 330-8444
- NPI assigned
- Aug 13, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017266 | GA | Primary |
Addresses
Primary practice location
119 Canal St Ste 104
Pooler, GA 31322-4094
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241107000464 | GA | Practitioner - Physical Therapist in Private Practice | 3971037441 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Independent Physical Therapy of Georgia, LLC
Practice addresses (Care Compare)
1204 US 19
Suite B
Leesburg, GA 31763-5982
Phone (229) 496-2342
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Atlanta South Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
1204 US 19 S
Ste B
Leesburg, GA 31763
Phone (229) 496-2342
119 Canal St
Ste 104
Pooler, GA 31322
Phone (912) 330-8444
Organizations & group practices 15
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
- Fort Oglethorpe, GA
- NPI 1780636068
GA, Physical Therapist
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
- Physical Therapist
- Dawsonville, GA
- NPI 1386515955
-
- Physical Therapist
- Blairsville, GA
- NPI 1588931190
-
- Physical Therapy Clinic/Center
- Marietta, GA
- NPI 1013292119
-
- Physical Therapist
- Hoschton, GA
- NPI 1124295779
-
- Physical Therapist
- Canton, GA
- NPI 1457608861
-
- Physical Therapist
- Demorest, GA
- NPI 1467556829
-
- Physical Therapist
- Dahlonega, GA
- NPI 1487962684
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1609022136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1831920503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "866-518-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 CANAL ST STE 104",
"city": "POOLER",
"state": "GA",
"postal_code": "313224094",
"telephone_number": "912-330-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "HANNAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT017266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.