Perform Physical Therapy & Wellness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PERFORM PHYSICAL THERAPY & WELLNESS LLC

Practice address

27 2ND Ave SE
Moultrie, GA 31768-4757

Phone

(912) 515-5869

NPI assigned

May 24, 2023

Last updated

Aug 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Britney Wetherington Mobley, PT, DPT, SCS

Title

Owner

Phone

(912) 515-5869

Specialties & licenses 1

Addresses

Other names 1

• Perform Physical Therapy & Wellness Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Savannah Cooper

  • Physical Therapist
  • Sylvester, GA
  • NPI 1356888309
  Medicare reassignment Care Compare group NPD
• Britney Leigh Mobley, PT

  • Physical Therapist
  • Moultrie, GA
  • NPI 1205004165
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1851083117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 2ND AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317684757",
            "telephone_number": "912-515-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 2ND AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317684757",
            "telephone_number": "912-515-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORM PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "BRITNEY",
        "authorized_official_middle_name": "WETHERINGTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-515-5869",
        "authorized_official_credential": "PT, DPT, SCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perform Physical Therapy & Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Perform Physical Therapy & Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sager Pattani
• Marian Antoinette Patterson, MD
• Debra J Peacock, CCC/SLP
• Richard Anthony Peckham, RN
• Allyson Vichetra Pel, DO
• Rebecca H Peters, NP
• Makita Phillips
• Pink Penny Care, LLC (The Pink Penny Private Homecare, LLC)
• Marla Gwen Poole, APRN
• Cory Porteus, DO

• Physical Therapy Clinic/Center in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.