Faith Plus Work PT, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009941 Issued in GA

Legal business name

FAITH PLUS WORK PT, LLC

Practice address

656 Ivy Brook Way
Macon, GA 31210-5520

Phone

(770) 354-1013

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Katherine Denise Sylvester, DPT

Title

Organizer

Phone

(770) 354-1013

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1972853935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 IVY BROOK WAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105520",
            "telephone_number": "770-354-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 IVY BROOK WAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105520",
            "telephone_number": "770-354-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH PLUS WORK PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "770-354-1013",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Macon, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.