Core Physical Therapy, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

005265 Issued in GA

Legal business name

CORE PHYSICAL THERAPY, PC

Practice address

301 Margie Dr
Warner Robins, GA 31088-7818

Phone

(478) 953-5800

Fax

(478) 953-5855

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Keith Brown, P.T.NPI 1619044906

Title

President

Phone

(478) 953-5800

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 7

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.

• Keith Brown, P.T.

  • Physical Therapist
  • Macon, GA
  • NPI 1619044906
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Brandon Beck, PT, DPT, ATC

  • Physical Therapist
  • Bonaire, GA
  • NPI 1346798782
  Medicare reassignment Care Compare group NPD
• Michael Kevin McCrary, DPT

  • Physical Therapist
  • Bonaire, GA
  • NPI 1023532488
  Medicare reassignment Care Compare group NPD
• Spencer D Shugart, MPT

  • Physical Therapist
  • Perry, GA
  • NPI 1598049918
  Medicare reassignment NPD
• Alaina Richardson, PTA

  • Physical Therapy Assistant
  • Bonaire, GA
  • NPI 1124613468
  NPD
• D'Anna Nicole Klinger, P.T.

  • Physical Therapist
  • Suwanee, GA
  • NPI 1497899215
  NPD (past)
• Latonya P Mister, DPT

  • Physical Therapist
  • Bossier City, LA
  • NPI 1639317704
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1982763744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MARGIE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887818",
            "telephone_number": "478-953-5800",
            "fax_number": "478-953-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MARGIE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887818",
            "telephone_number": "478-953-5800",
            "fax_number": "478-953-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-953-5800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "005265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DANNIELLE PUCKETT NPI",
            "identifier": "1639353261",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANGEL BROWN NPI",
            "identifier": "1699777367",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP7944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEITH BROWN NPI",
            "identifier": "1619044906",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrill Anthony Cooper, NP-C
• Deborah Copeland, LPN
• Jacqueline Copeland
• Inez Corbett
• Kierra Corbin
• Cornerstones for Life, LLC
• Corvic Group (Physio Lab)
• Counseling of Central Georgia
• Valerie Lynn Counselman, MPH, RD, LD
• Bryan Peter Covert, M.D.

• Physical Therapy Clinic/Center in Warner Robins, GA
• Providers in Warner Robins, 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 Feb 11, 2008; 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.