NPIMap

Organization Active NPI

Oconee Physical Therapy & Sports

  • Physical Therapist
  • Watkinsville, GA
National Provider Identifier
1902830144
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OCONEE PHYSICAL THERAPY & SPORTS
Practice address
1741 Hog Mountain Rd
BLDG 100
Watkinsville, GA 30677-1947
Phone
(706) 769-6261
Fax
(706) 762-6316
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Mr. Kurt Gelfand, M.S., P.T.
Title
President/Physical Therapist
Phone
(706) 769-6261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X GA Primary

Addresses

Primary practice location

1741 Hog Mountain Rd
BLDG 100
Watkinsville, GA 30677-1947

Mailing address

1741 Hog Mountain Rd
BLDG 100
Watkinsville, GA 30677-1947
Phone (706) 769-6261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008000225 GA Part B Supplier - Clinic/Group Practice 7416916077 Receives reassigned benefits from 4 practitioners
Practice locations: Athens, GA

National Provider Directory

National Provider Directory

Locations

8081 Macon Hwy
Athens, GA 30606
Phone (706) 769-6261

1741 Hog Mountain Rd
Ste 100
Watkinsville, GA 30677
Phone (706) 549-5033

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1902830144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 HOG MOUNTAIN RD",
            "address_2": "BLDG 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771947",
            "telephone_number": "706-769-6261",
            "fax_number": "706-762-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 HOG MOUNTAIN RD",
            "address_2": "BLDG 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771947",
            "telephone_number": "706-769-6261",
            "fax_number": "706-762-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE PHYSICAL THERAPY & SPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "GELFAND",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "706-769-6261",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.