Active NPI
Gainesville Physical Therapy-Clayton
- Physical Therapist
- Clayton, GA
National Provider Identifier
1871929307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
- Last updated
- Sep 18, 2013
- Organization subpart
- Yes
- Parent organization
- GAINSVILLE PHYSICAL THERAPY
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
156 N Main St
Clayton, GA 30525-4266
Mailing address
1296 Sims St
Suite a
Gainesville, GA 30501-3873
Phone (770) 297-1700
National Provider Directory
National Provider Directory- Tax ID family
- Gainesville Physical Therapy-Clayton
- 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.
-
- Physical Therapist
- Gainesville, GA
- NPI 1649308156
Practitioners & affiliated clinicians
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.
-
- Physical Therapist
- Gainesville, GA
- NPI 1194853655
-
- Physical Therapist
- Gainesville, GA
- NPI 1740791243
NPI Registry JSON
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": []
}Other providers in Clayton, GA
- 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 (CVS Pharmacy 07759)
- Georgia Mountain Psychological Associates Inc.
- Georgia Mountains Community Services
Sources for this page
- 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.