Active NPI
Lawson Physical Therapy
- Physical Therapy Clinic/Center
- Jesup, GA
National Provider Identifier
1891183653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 261QP2000X
- Legal business name
- LAWSON PHYSICAL THERAPY
- Doing business as
- Advantage Physical Therapy
- Practice address
- 1579 W Cherry St
Jesup, GA 31545-0611 - Phone
- (912) 256-0113
- NPI assigned
- Jan 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Reid Lawson, DPT
- Title
- Director
- Phone
- (912) 256-0113
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 261QP2000X | GA | Primary |
Addresses
Primary practice location
1579 W Cherry St
Jesup, GA 31545-0611
Mailing address
397 Austin Ave
Jesup, GA 31546-3645
Phone (912) 256-0113
Other names 1
- Advantage Physical Therapy
National Provider Directory
National Provider DirectoryLocations
1579 W Cherry St
Jesup, GA 31545
Phone (912) 427-2011
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Jesup, GA
- NPI 1821329269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420156800000",
"number": "1891183653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "397 AUSTIN AVE",
"city": "JESUP",
"state": "GA",
"postal_code": "315463645",
"telephone_number": "912-256-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1579 W CHERRY ST",
"city": "JESUP",
"state": "GA",
"postal_code": "315450611",
"telephone_number": "912-256-0113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWSON PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-02",
"last_updated": "2015-01-02",
"status": "A",
"authorized_official_last_name": "LAWSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "REID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "912-256-0113",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "GA",
"license": "261QP2000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advantage Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.