Organization Active NPI

Physical Therapy Plus, Inc

  • Physical Therapist
  • Brunswick, GA
National Provider Identifier
1932301363
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY PLUS, INC
Practice address
3647 Altama Ave
Varsity Plaza
Brunswick, GA 31520-3631
Phone
(912) 554-8886
Fax
(912) 554-8831
NPI assigned
Jun 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elizabeth Thompson Daniel, PTNPI 1639269574
Title
Owner
Phone
(912) 634-9945

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)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3647 Altama Ave
Varsity Plaza
Brunswick, GA 31520-3631

Mailing address

2601 Demere Rd
St Simons Island, GA 31522-1614
Phone (912) 634-9945

National Provider Directory

National Provider Directory

Locations

2601 Demere Rd
St Simons Island, GA 31522
Phone (912) 634-9945

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932301363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 DEMERE RD",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221614",
            "telephone_number": "912-634-9945",
            "fax_number": "912-638-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 ALTAMA AVE",
            "address_2": "VARSITY PLAZA",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203631",
            "telephone_number": "912-554-8886",
            "fax_number": "912-554-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY PLUS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-634-9945",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.