Michael Vincent Cromartie II, PT, DPT, CSCS

Individual provider Active NPI Physical Therapist · Hapeville, GA

NPI 1972151330 · NPPES record last updated Aug 29, 2019

Key facts

NPI
1972151330
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT014319 (GA)
Practice address
3580 Atlanta Ave
Hapeville, GA 30354-1706
Phone
(404) 768-3351
Fax
(404) 763-2002
NPI assigned
Aug 29, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Physical Therapist Current
since Mar 13, 2024
Accepting new patients

Locations

135 Market St
Thomasville, GA 31792
Phone (229) 222-9146

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014319 GA Yes

Addresses

Primary practice location

3580 Atlanta Ave
Hapeville, GA 30354-1706

Mailing address

1220 Ethans Way
McDonough, GA 30252-8575
Phone (678) 651-3308

Other providers in Hapeville, GA

All providers in Hapeville, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.