Gainesville Physical Therapy-Clayton

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GAINESVILLE PHYSICAL THERAPY-CLAYTON

Practice address

156 N Main St
Clayton, GA 30525-4266

Phone

(770) 297-1700

Fax

(770) 297-1702

NPI assigned

Sep 16, 2013

Organization subpart

Yes

Parent organization

GAINSVILLE PHYSICAL THERAPYAs reported in NPPES

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

Authorized official

Name

Vicki Sims, PT

Title

Owner/Manager

Phone

(770) 297-1700

Specialties & licenses 1

Addresses

Tax ID family

Gainesville Physical Therapy-Clayton2 organizations share this tax ID, including this one

Part of

Gainesville Physical Therapy-Clayton

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gainesville Physical Therapy LLC

  • Physical Therapist
  • Gainesville, GA
  • NPI 1649308156
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lydia Gailey, DPT

  • Physical Therapist
  • Gainesville, GA
  • NPI 1740791243
  NPD

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1871929307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 SIMS ST",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013873",
            "telephone_number": "770-297-1700",
            "fax_number": "770-297-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 N MAIN ST",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254266",
            "telephone_number": "770-297-1700",
            "fax_number": "770-297-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE PHYSICAL THERAPY-CLAYTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GAINSVILLE PHYSICAL THERAPY",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "770-297-1700",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Dent Frederickson, MD
• Suzanne A Frederickson, CCC-SLP
• Louis Peter Fuerstman, MD
• Fundamental Therapy Services, LLC
• Wesley Turner Funk, D.M.D.
• Cortney Morgan Galloway, ACPNP
• Nathan Gregory Gay, ACNPC-AG
• Georgia CVS Pharmacy LLC
• Georgia Mountain Psychological Associates Inc.
• Georgia Mountains Community Services

• All providers in Clayton, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.