Plexus Care Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

OT004985 Issued in GA

Legal business name

PLEXUS CARE THERAPY

Practice address

818 Prairie LN
Evans, GA 30809-4263

Phone

(762) 685-6366

NPI assigned

Nov 9, 2017

Last updated

Nov 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Regina Frazier, OTR/L, CLTNPI 1902260789

Title

Owner

Phone

(762) 685-6366

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Regina Frazier, OTR/L

  • Occupational Therapist
  • Evans, GA
  • NPI 1902260789
  NPD Authorized official

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1952814188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 PRAIRIE LN",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 PRAIRIE LN",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094263",
            "telephone_number": "762-685-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEXUS CARE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "762-685-6366",
        "authorized_official_credential": "OTR/L, CLT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "OT004985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Kristen Pinckney, LCSW
• Vanitcha R Pintavorn, MD
• Warren Marcus Pitts Jr., D.O.
• Randall Timothy Plant, BS
• Emily Grace Platt, OD
• Lena Pluta
• Tonya B Poitier
• Jordan Caitlin Polk, NP
• Leslie J Pollard Jr., MD
• Shunya Poole

• Physical Therapy Clinic/Center in Evans, GA
• Providers in Evans, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.